| |
9710 State Ave Marysville WA 98270-2232 | |
(360) 657-3091 | |
(360) 657-5732 |
Full Name | |
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Speciality | Clinic/center - Federally Qualified Health Center (fqhc) |
Location | 9710 State Ave, Marysville, Washington |
Authorized Official Name and Position | Mary Bartolo (DEPUTY DIRECTOR) |
Authorized Official Contact | 2067883224 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Po Box 34703 Seattle WA 98124-1703 Ph: () - | 9710 State Ave Marysville WA 98270-2232 Ph: (360) 657-3091 |
NPI Number | 1942358908 |
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Provider Enumeration Date | 01/08/2007 |
Last Update Date | 01/31/2025 |
Identifier | Type | State | Issuer |
---|---|---|---|
1942358908 | NPI | - | NPPES |
1022874 | Medicaid | WA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
122300000X | Dentist | (* (Not Available)) | Secondary |
261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | 6005372781 (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 |