Individual
DR. MARIANNA BEETHAM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
D.D.S.
Contact information
Practice address
12911 120TH AVE NE, SUITE # B-60, KIRKLAND, WA 98034-3027
(425) 825-8800
(425) 825-8808
Mailing address
11411 NE 103RD ST, KIRKLAND, WA 98033-5179
(206) 919-9251
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
9356
WA
Other
Enumeration date
06/25/2007
Last updated
07/08/2007
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