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Search › Washington › 101YM0800X

Bronson Mandeville

NPI 1730985300 · on the registry since 2025

Practice

Address
5620 112th St E
Puyallup, WA 98373
Phone
(517) 974-3515
Organisation at this address
Bryce Wilson, Pllc
Korsmo & Henry Ddd Ps
Korsmo & Henry Dds Ps
Thomas Henry Dds Ps Dba Canyon Orthodontics
Inferred from a shared address, not stated in the registry.
Clinicians at this address
28

Registry record

Primary taxonomy
101YM0800X
101YM0800X
Also registered as
103TB0200X
103TC2200X
Sex
Male
Record last updated
2026-02-23

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Washington