Individual
MISS MADYSON LEITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3036 PERRY AVE STE C, BREMERTON, WA 98310-5300
(360) 218-3072
Mailing address
1790 SIDNEY AVE APT 2-106, PORT ORCHARD, WA 98366-2462
Taxonomy
Speciality
Code
Description
License number
State
126800000X
Dental Assistant
Primary
—
—
Other
Enumeration date
09/12/2021
Last updated
09/12/2021
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