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3806 116th St. Ne Marysville WA 98271 | |
(425) 242-5821 | |
Not Available |
Full Name | |
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Speciality | Dentist - Pediatric Dentistry |
Location | 3806 116th St. Ne, Marysville, Washington |
Authorized Official Name and Position | Roger Lucas (PRESIDENT) |
Authorized Official Contact | 4252425821 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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12918 Mukilteo Speedway Suite C23 Box 596 Lynnwood WA 98087 Ph: (425) 242-5821 | 3806 116th St. Ne Marysville WA 98271 Ph: (425) 242-5821 |
NPI Number | 1124511126 |
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Provider Enumeration Date | 06/13/2018 |
Last Update Date | 06/13/2018 |
Identifier | Type | State | Issuer |
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1124511126 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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1223P0221X | Dentist - Pediatric Dentistry | (* (Not Available)) | Primary |
Xiaoying Deng, Dds, Pllc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 1246 State Ave Ste C, Marysville, WA 98270 Phone: 360-209-8744 |