Organization
ELIZABETH A F BRAY PLLC
Active
Other names
Wildcreek Dental
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ELIZABETH ANNE FASSBURG BRAY DMD (OFFICER/DENTIST)
(206) 818-3297
Entity
Organization
Contact information
Practice address
4650 WEDEKIND RD STE 1, SPARKS, NV 89431-7722
(206) 818-3297
Mailing address
4650 WEDEKIND RD STE 1, SPARKS, NV 89431-7722
(206) 818-3297
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Enumeration date
05/21/2020
Last updated
05/21/2020
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