Individual
MARLA JEAN MACLEOD-MARTIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RDA,EFDA CERTIFIED
Contact information
Practice address
14406 NE 20TH AVE, VANCOUVER, WA 98686-1448
(360) 571-3139
Mailing address
111 ROCKWOOD DR, STEVENSON, WA 98648-6423
(509) 427-5582
Taxonomy
Speciality
Code
Description
License number
State
126800000X
Dental Assistant
Primary
A10895
WA
Other
Enumeration date
12/14/2012
Last updated
12/14/2012
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