Organization
LARREAU AND THOMAS, PLLC
Active
Other names
Seven Lakes Dental
Organization subpart
No
Provider details
NPI number
Authorized official
BRAD A LARREAU DDS (MEMBER)
(316) 617-5888
Entity
Organization
Contact information
Practice address
17317 27TH AVE NE, SUITE 101, MARYSVILLE, WA 98271-4745
(360) 653-5577
Mailing address
17317 27TH AVE NE, SUITE 101, MARYSVILLE, WA 98271-4745
(360) 653-5577
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
60074615
WA
Other
Enumeration date
09/10/2013
Last updated
09/10/2013
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