Larae Van Derschelden in Bothell - Dentist
Larae Van Derschelden - NPI 1740365873
Larae Van Derschelden is a Dentist in Bothell, Washington. Larae Van Derschelden practices all healthcare services and medical treatments related to Dentist. The NPI Number for Larae Van Derschelden is 1740365873. The last update date is 2007-07-08.
Larae Van Derschelden's current location address is 17917 Bothell Everett Hwy, Bothell, Washington. You can contact this provider via phone number 4254811038 and fax number 4254833158. The mailing address for Larae Van Derschelden is 17917 Bothell Everett Hwy, Bothell, Washington. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Larae Van Derschelden |
|---|---|
| Address | 17917 Bothell Everett Hwy, Bothell, Washington |
| Phone Number | 4254811038 |
| Fax Number | 4254833158 |
| Sole Proprietor | Y |
| Credentials | -- |
NPI Number Detail
| NPI Number | 1740365873 |
|---|---|
| Provider Enumeration Date | 2006-10-26 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 17917 Bothell Everett Hwy |
|---|---|
| City | Bothell |
| State | Washington (WA) |
| Post Code | 980126384 |
| Phone Number | 4254811038 |
| Fax Number | 4254833158 |
Provider's Primary Taxonomy Detail
| Speciality | Dentist |
|---|---|
| Taxonomy | 122300000X |
| Licence No | 6076 |
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Definition: A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: denti |
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Post Comment/ Review Below
What is the unique identifier code issued to Larae Van Derschelden by the Centers for Medicare & Medicaid Services (CMS)?
The Larae Van Derschelden has been assigned the NPI (National Provider Identifier) 1740365873. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.
Could you please share the complete physical address where Larae Van Derschelden is geographically located?
The Larae Van Derschelden is physically situated at the following location: 17917 Bothell Everett Hwy, Bothell, WA, 980126384.
What is Larae Van Derschelden's specialized field of practice, and what is the corresponding taxonomy classification code?
The Larae Van Derschelden's area of specialization is Dentist, and the corresponding taxonomy code that categorizes this field of practice is 122300000X.
When was the Larae Van Derschelden's 1740365873 issued?
The Larae Van Derschelden's 1740365873 was issued on 2006-10-26.
As of what date were the details related to Larae Van Derschelden most recently updated or revised?
The information pertaining to Larae Van Derschelden, including its address, specialty, and other relevant details, was last updated or revised on 2007-07-08.