Individual
JENNIFER BIELAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2261 HOSPITAL DR STE 103, SEDRO WOOLLEY, WA 98284-4329
(360) 854-0606
Mailing address
2261 HOSPITAL DR STE 103, SEDRO WOOLLEY, WA 98284-4329
(360) 854-0606
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
DE 8124
WA
Other
Enumeration date
07/28/2006
Last updated
07/08/2007
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