Organization
JOSEPH EIDSNESS, DDS, PLLC
Active
Other names
Port Susan Dental
Organization subpart
No
Provider details
NPI number
Authorized official
JOSEPH R EIDSNESS DDS (PRACTICE OWNER)
(360) 618-2877
Entity
Organization
Contact information
Practice address
7209 265TH ST NW STE 201, STANWOOD, WA 98292-6292
(360) 629-3133
Mailing address
5430 91ST ST NE, MARYSVILLE, WA 98270-2642
(360) 618-2877
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Enumeration date
03/06/2025
Last updated
03/08/2025
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