| City Park Dental | |
|
1601 10th St Marysville WA 98270-4631 | |
| (360) 659-7983 | |
| (360) 659-5704 |
| Full Name | City Park Dental |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 1601 10th St, Marysville, Washington |
| Authorized Official Name and Position | Cam Tu Vo (DENTIST) |
| Authorized Official Contact | 3606597983 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| City Park Dental 1601 10th St Marysville WA 98270-4631 Ph: (360) 659-7983 | City Park Dental 1601 10th St Marysville WA 98270-4631 Ph: (360) 659-7983 |
| NPI Number | 1972838696 |
|---|---|
| Provider Enumeration Date | 10/14/2009 |
| Last Update Date | 10/20/2009 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1972838696 | NPI | - | NPPES |
| 5051081 | Medicaid | WA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | DE0584 (Washington) | Primary |
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