Individual
DR. EDWARD RANDAL TIERNEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
556 EUREKA WAY, SEQUIM, WA 98382-5074
(360) 683-7168
Mailing address
556 EUREKA WAY, SEQUIM, WA 98382-5074
(360) 683-7168
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
6636
WA
Other
Enumeration date
11/20/2006
Last updated
04/06/2015
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