Whalio Doctors

NPI 1083726038

Macy M Bienerth, EFDA

Practitioner Dental Assistant Vancouver, WA

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
Dental Providers Taxonomy 126800000X Licence A10295 (OR)

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.