Organization
HOUSE, LEE, MAST, MCDONALD AND NELSON, PC
Active
Other names
Mercer Island Orthodontics
Organization subpart
No
Provider details
NPI number
Authorized official
MARILYN CHORAK (REG. OPS MANAGER)
(206) 275-3042
Entity
Organization
Contact information
Practice address
3022 78TH AVE SE, MERCER ISLAND, WA 98040-2823
(206) 275-3042
Mailing address
3022 78TH AVE SE, MERCER ISLAND, WA 98040-2823
(206) 275-3042
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
—
—
Other
Enumeration date
03/31/2021
Last updated
03/31/2021
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