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11605 State Ave Ste. 108 Marysville WA 98271-8427 | |
(360) 386-9540 | |
(360) 386-9542 |
Full Name | |
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Speciality | Dentist - General Practice |
Location | 11605 State Ave, Marysville, Washington |
Authorized Official Name and Position | Whan Michael Cho (PRESIDENT) |
Authorized Official Contact | 3603869540 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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11605 State Ave Ste. 108 Marysville WA 98271-8427 Ph: (360) 386-9540 | 11605 State Ave Ste. 108 Marysville WA 98271-8427 Ph: (360) 386-9540 |
NPI Number | 1760647010 |
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Provider Enumeration Date | 07/26/2008 |
Last Update Date | 03/07/2023 |
Identifier | Type | State | Issuer |
---|---|---|---|
1760647010 | NPI | - | NPPES |
DE00010468 | Other | WA | DENTAL LISENCE |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1223G0001X | Dentist - General Practice | DE00010468 (Washington) | 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 |