Individual
DR. ANDREW MARK NORDLIE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
2505 S 320TH ST STE 330, FEDERAL WAY, WA 98003-5461
(206) 400-0800
Mailing address
21421 SNAG ISLAND DR E, LAKE TAPPS, WA 98391-8709
(253) 561-2294
Taxonomy
Speciality
Code
Description
License number
State
1223P0300X
Periodontics
Primary
DE61661757
WA
Other
Enumeration date
04/14/2025
Last updated
04/19/2025
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