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17317 27th Ave Ne Suite 101 Marysville WA 98271-4745 | |
(360) 653-5577 | |
Not Available |
Full Name | |
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Speciality | Dentist |
Location | 17317 27th Ave Ne, Marysville, Washington |
Authorized Official Name and Position | Brad A Larreau (MEMBER) |
Authorized Official Contact | 3166175888 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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17317 27th Ave Ne Suite 101 Marysville WA 98271-4745 Ph: (360) 653-5577 | 17317 27th Ave Ne Suite 101 Marysville WA 98271-4745 Ph: (360) 653-5577 |
NPI Number | 1043645963 |
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Provider Enumeration Date | 09/10/2013 |
Last Update Date | 09/10/2013 |
Identifier | Type | State | Issuer |
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1043645963 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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122300000X | Dentist | 60074615 (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 |