# FORUM DENTAL GROUP, LLC

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

## Provider details

- **NPI number:** 1720445737
- **Authorized official:** DR. MICHAEL G LAMARCHE DDS (OWNER)
- **Authorized official phone:** (425) 357-1818

## Contact information

- **Practice address:** 15129 MAIN ST, SUITE 202, MILL CREEK, WA 98012-9036
- **Practice address phone:** (425) 357-1818
- **Mailing address:** 15129 MAIN ST, SUITE 202, MILL CREEK, WA 98012-9036
- **Mailing address phone:** (425) 357-1818

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QD0000X | Dental Clinic/Center | DE00004762 | WA | Yes |

## Other

- **Enumeration date:** 01/21/2016
- **Last updated:** 01/21/2016
