| Marysville Periodontal And Implant Center | |
|
5100 Grove St Ste A Marysville WA 98270-4492 | |
| (360) 659-6732 | |
| Not Available |
| Full Name | Marysville Periodontal And Implant Center |
|---|---|
| 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 |
|---|---|
| Marysville Periodontal And Implant Center 5100 Grove St Ste A Marysville WA 98270-4492 Ph: () - | Marysville Periodontal And Implant Center 5100 Grove St Ste A Marysville WA 98270-4492 Ph: (360) 659-6732 |
| NPI Number | 1215674163 |
|---|---|
| Provider Enumeration Date | 05/12/2022 |
| Last Update Date | 06/03/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1215674163 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223P0300X | Dentist - Periodontics | (* (Not Available)) | Primary |
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