Individual
CORINA MARCUS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
175 NE GILMAN BLVD STE 101, ISSAQUAH, WA 98027-2955
(425) 391-9200
Mailing address
22809 LAKEVIEW DR APT E304, MOUNTLAKE TERRACE, WA 98043-2880
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
DE60768638
WA
Other
Enumeration date
08/08/2017
Last updated
08/08/2017
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