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4305 76th St Ne Marysville WA 98270-3749 | |
(415) 742-1181 | |
Not Available |
Full Name | |
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Speciality | Dentist - Orthodontics And Dentofacial Orthopedics |
Location | 4305 76th St Ne, Marysville, Washington |
Authorized Official Name and Position | Robert C Lee (MEMBER) |
Authorized Official Contact | 3606534114 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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4305 76th St Ne Marysville WA 98270-3749 Ph: (415) 742-1181 | 4305 76th St Ne Marysville WA 98270-3749 Ph: (415) 742-1181 |
NPI Number | 1194283903 |
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Provider Enumeration Date | 03/11/2019 |
Last Update Date | 06/06/2019 |
Identifier | Type | State | Issuer |
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1194283903 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1223X0400X | Dentist - Orthodontics And Dentofacial Orthopedics | (* (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 |