Individual
MISTY HILL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
9119 MILL PARK AVE, TACOMA, WA 98431
(253) 966-9960
Mailing address
9119 MILL PARK AVE, JBLM, WA 98431
(253) 966-9960
Taxonomy
Speciality
Code
Description
License number
State
126800000X
Dental Assistant
Primary
—
—
Other
Enumeration date
08/31/2016
Last updated
08/31/2016
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