Individual
DR. M'LISSA RAJCICH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
D.D.S.
Contact information
Practice address
602 S MERIDIAN, PUYALLUP, WA 98371-5908
(253) 845-7583
(253) 845-0535
Mailing address
602 S MERIDIAN, PUYALLUP, WA 98371-5908
(253) 845-7583
(253) 845-0535
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
7641
WA
Other
Enumeration date
05/10/2007
Last updated
07/08/2007
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