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17103 28th Dr. Ne Suite 104 Marysville WA 98271 | |
(360) 208-0492 | |
(360) 719-1024 |
Full Name | |
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Speciality | Dentist |
Location | 17103 28th Dr. Ne, Marysville, Washington |
Authorized Official Name and Position | Brian S Bienstock (OWNER) |
Authorized Official Contact | 3602080492 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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17000 Red Hill Ave Irvine CA 92614-5626 Ph: (714) 845-8890 | 17103 28th Dr. Ne Suite 104 Marysville WA 98271 Ph: (360) 208-0492 |
NPI Number | 1790141828 |
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Provider Enumeration Date | 01/05/2016 |
Last Update Date | 02/04/2016 |
Identifier | Type | State | Issuer |
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1790141828 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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122300000X | Dentist | (* (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 |