Individual
LARRY JOSEPH QUESNELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
721 S. MAPLE, LA CONNER, WA 98257
(360) 466-3188
(360) 466-5074
Mailing address
PO BOX 143, LA CONNER, WA 98257
(360) 466-3188
(360) 466-5074
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
4532
WA
Other
Enumeration date
10/05/2010
Last updated
10/05/2010
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