Upshur & Mirmnonsef D.d.s., P.s.
NPI #1467577551 in Gig Harbor, Washington
Provider Information
- NPI Number
- 1467577551
- Entity Type
- Organization
- Organization Name
- Upshur & Mirmnonsef D.d.s., P.s.
- Primary Specialty
- Dentist - General Practice
- Enumeration Date
- Mar 20, 2007
- Last Updated
- Aug 22, 2020
Practice Location
- Address
- 7116 STINSON AVE STE B315
- City
- Gig Harbor
- State
- Washington
- ZIP Code
- 98335-1100
- Phone
- (253) 858-3457
Authorized Official
- Name
- DR. CONWAY LITTLETON UPSHUR, DDS
- Title
- DENTIST
- Phone
- (253) 858-3457
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist - General Practice — General Practice |
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