Larry Lee Pevny DENTURIST

NPI 1194960161 - Denturist - 122400000X

NPI Details
NPI 1194960161
Gender Male
Enumeration Date 12/04/2008
Last Updated 12/04/2008
Entity Type Individual
Active Over 8 years ago
Practice Location
619 CEDAR AVE
MARYSVILLE WA, 98270-4532, US
Phone (360) 659-6300
Fax (360) 691-7881
Business Location
619 CEDAR AVE
MARYSVILLE WA, 98270-4532, US
Phone (360) 659-6300
Fax (360) 691-7881
Toxanomy
Taxonomy Code 122400000X
License State Washington
License Number DN00000045
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According to our database, Mr. Larry Lee Pevny DENTURIST NPI is 1194960161, taxonomy code is 122400000X and license number is DN00000045, license state is located at Washington. Larry Lee Pevny DENTURIST physically located at 619 Cedar Ave, Marysville WA, 98270-4532. NPI Number Larry Lee Pevny DENTURIST has the Individual type.

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1194960161 NPI number is provided on an as is basis without warranty of any kind. 1194960161 is maintained by the National Plan & Provider Enumeration System. The contents of Larry Lee Pevny DENTURIST are for informational purposes only.