| Theron Manson Dds Ps | |
|
9750 Ne 120th Pl #8 Kirkland WA 98034-4207 | |
| (425) 823-1909 | |
| (425) 823-8969 |
| Full Name | Theron Manson Dds Ps |
|---|---|
| Speciality | Dentist |
| Location | 9750 Ne 120th Pl #8, Kirkland, Washington |
| Authorized Official Name and Position | Theron Angus Manson (DENTIST/PRESIDENT) |
| Authorized Official Contact | 4258231909 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Theron Manson Dds Ps 9750 Ne 120th Pl #8 Kirkland WA 98034-4207 Ph: (425) 823-1909 | Theron Manson Dds Ps 9750 Ne 120th Pl #8 Kirkland WA 98034-4207 Ph: (425) 823-1909 |
| NPI Number | 1962754762 |
|---|---|
| Provider Enumeration Date | 10/04/2012 |
| Last Update Date | 10/04/2012 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1962754762 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 9434 (Washington) | Primary |
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