Organization
MONROE FAMILY DENTISTRY, PLLC
Active
Other names
Monroe Family Dentistry
Organization subpart
No
Provider details
NPI number
Authorized official
NICK SUNDIAM (CREDENTIALING MANAGER)
(719) 300-5933
Entity
Organization
Contact information
Practice address
19071 HWY 2, MONROE, WA 98272-1416
(360) 794-8000
(360) 794-6257
Mailing address
19071 HWY 2, MONROE, WA 98272-1416
(360) 794-8000
(360) 794-6257
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
—
—
Other
Enumeration date
05/07/2024
Last updated
05/07/2024
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