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5100 Grove St Ste A Marysville WA 98270-4492 | |
(360) 659-6732 | |
Not Available |
Full Name | |
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Speciality | Dentist - Periodontics |
Location | 5100 Grove St Ste A, Marysville, Washington |
Authorized Official Name and Position | Courtney R Monteith (CREDENTIALING COORDINATOR) |
Authorized Official Contact | 2175408306 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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5100 Grove St Ste A Marysville WA 98270-4492 Ph: () - | 5100 Grove St Ste A Marysville WA 98270-4492 Ph: (360) 659-6732 |
NPI Number | 1215674163 |
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Provider Enumeration Date | 05/12/2022 |
Last Update Date | 06/03/2022 |
Identifier | Type | State | Issuer |
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1215674163 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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1223P0300X | Dentist - Periodontics | (* (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 |