Individual
STEVEN G MARANDAS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
1452 HUDSON ST, SUITE #200, LONGVIEW, WA 98632-3066
(360) 425-9090
(360) 425-7323
Mailing address
1452 HUDSON ST, SUITE#200, LONGVIEW, WA 98632-3066
(360) 425-9090
(360) 425-7323
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
D8959
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
5046883
—
WA
Enumeration date
12/05/2006
Last updated
07/08/2007
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