Organization
FORUM DENTAL GROUP, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MICHAEL G LAMARCHE DDS (OWNER)
(425) 357-1818
Entity
Organization
Contact information
Practice address
15129 MAIN ST, SUITE 202, MILL CREEK, WA 98012-9036
(425) 357-1818
Mailing address
15129 MAIN ST, SUITE 202, MILL CREEK, WA 98012-9036
(425) 357-1818
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
DE00004762
WA
Other
Enumeration date
01/21/2016
Last updated
01/21/2016
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