Pioneer Denture Clinic, INC

NPI #1336278910 in Marysville, Washington

Provider Information

NPI Number: 1336278910
Entity Type: Organization
Organization Name: Pioneer Denture Clinic, INC
Primary Specialty: Denturist
Enumeration Date: Mar 2, 2007
Last Updated: Aug 22, 2020

Practice Location

Address: 619 CEDAR AVE
City: Marysville
State: Washington
ZIP Code: 98270-4532
Phone: (360) 659-6300

Authorized Official

Name: LARRY LEE PEVNY
Title: PRESIDENT
Phone: (360) 659-6300

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Denturist	122400000X	Primary

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