# MARYSVILLE SMILE CENTER LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1447717152
- **Authorized official:** NARI LEE (ASSISTANT MANAGER)
- **Authorized official phone:** (253) 212-3430

## Contact information

- **Practice address:** 1601 10TH ST, MARYSVILLE, WA 98270-4631
- **Practice address phone:** (253) 212-3430
- **Mailing address:** 3670 BRIDGEPORT WAY W UNIT B, UNIVERSITY PLACE, WA 98466-4413
- **Mailing address phone:** (253) 212-3430

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223G0001X | General Practice Dentistry | — | NULL | Yes |
| 1223G0001X | General Practice Dentistry | — | — | Yes |

## Other

- **Enumeration date:** 02/28/2019
- **Last updated:** 02/28/2019