NPI 1083726038
Macy M Bienerth, EFDA
Practice location
- Address
- 12711 SE Mill Plain Blvd, Vancouver, WA 98684-6053
- Phone
- (360) 896-4484
- Mailing address
- 24700 NW 24th Ave, Ridgefield, WA 98642-9415
Registered specialties
Dental Assistant
Primary
Registry record
- NPI
- 1083726038
- Entity type
- Individual
- Sex (as registered)
- Female
- NPI issued
- 31 Aug 2006
- Record last updated
- 8 Jul 2007
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.