| Pspd - Marysville, Pllc | |
|
919 State Ave Ste 104 Marysville WA 98270-4284 | |
| (360) 659-8100 | |
| (360) 659-8133 |
| Full Name | Pspd - Marysville, Pllc |
|---|---|
| Speciality | Dentist - Pediatric Dentistry |
| Location | 919 State Ave Ste 104, Marysville, Washington |
| Authorized Official Name and Position | Jessica R Knight (ACCOUNT RECEIVABLES MANAGER) |
| Authorized Official Contact | 3606598100 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Pspd - Marysville, Pllc 919 State Ave Ste 104 Marysville WA 98270-4284 Ph: (360) 659-8100 | Pspd - Marysville, Pllc 919 State Ave Ste 104 Marysville WA 98270-4284 Ph: (360) 659-8100 |
| NPI Number | 1336427897 |
|---|---|
| Provider Enumeration Date | 08/01/2011 |
| Last Update Date | 04/11/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1336427897 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223P0221X | Dentist - Pediatric Dentistry | (Washington) | Primary |
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