Individual
THERESA MALAMEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
10414 BEARDSLEE BLVD, SUITE 200, BOTHELL, WA 98011-3205
(425) 424-6353
Mailing address
3009 127TH PL SE, APT C22, BELLEVUE, WA 98005-4344
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
RR60491598
WA
Other
Enumeration date
07/30/2014
Last updated
07/30/2014
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