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2704 -171st Pl. Ne, Suite L-101 Marysville WA 98271-4712 | |
(360) 652-1400 | |
(360) 652-1433 |
Full Name | |
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Speciality | Clinic/center - Dental |
Location | 2704 -171st Pl. Ne,, Marysville, Washington |
Authorized Official Name and Position | Shawn F Magelsen (PARTNER/OWNER) |
Authorized Official Contact | 3606521400 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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2704 -171st Pl. Ne, Suite L-101 Marysville WA 98271-4712 Ph: (360) 652-1400 | 2704 -171st Pl. Ne, Suite L-101 Marysville WA 98271-4712 Ph: (360) 652-1400 |
NPI Number | 1710127030 |
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Provider Enumeration Date | 02/26/2009 |
Last Update Date | 02/26/2009 |
Identifier | Type | State | Issuer |
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1710127030 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QD0000X | Clinic/center - Dental | 602870164 (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 |