Individual
DR. BRIAN ELDER MAYER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS PLLC
Contact information
Practice address
38700 SE RIVER ST, STE E, SNOQUALMIE, WA 98065
(425) 888-2703
(425) 888-1554
Mailing address
PO BOX 453, SNOQUALMIE, WA 98065
(425) 888-2703
(425) 888-1554
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
5947
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
5007125
DSHS
WA
Enumeration date
03/23/2007
Last updated
07/08/2007
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