Organization
BRAD A LARREAU DDS PS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. JULIE A DODGE (CONSULTANT)
(206) 931-4410
Entity
Organization
Contact information
Practice address
3210 SMOKEY POINT DR STE 102, ARLINGTON, WA 98223-7805
(360) 653-5577
(360) 659-1125
Mailing address
3210 SMOKEY POINT DR STE 102, ARLINGTON, WA 98223-7805
(360) 653-5577
(360) 659-1125
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
600074615
WA
Other
Enumeration date
08/04/2009
Last updated
08/04/2009
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