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Individual

DR. GARY RICHARD MARSHALL

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
DDS

Contact information

Practice address
1610 NE 179TH ST, SHORELINE, WA 98155-3965
(206) 365-1557
Mailing address
1610 NE 179TH ST, SHORELINE, WA 98155-3965
(206) 365-1557

Taxonomy

Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DE00006375
WA

Other

Enumeration date
12/20/2006
Last updated
07/08/2007
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