Individual
ANIT MERRY MATHEW
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
14410 SE PETROVITSKY RD, #113, RENTON, WA 98058
(626) 253-1734
Mailing address
14410 SE PETROVITSKY RD, #113, RENTON, WA 98058
(626) 253-1734
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
DE60573228
WA
Other
Enumeration date
07/20/2012
Last updated
05/31/2016
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