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Individual

DR. TARYN MASHELLE VANGERPEN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
DDS

Contact information

Practice address
1019 112TH ST SW, EVERETT, WA 98204-4875
(425) 551-6200
Mailing address
1019 112TH ST SW, EVERETT, WA 98204-4875
(425) 551-6200

Taxonomy

Speciality
Code
Description
License number
State
122300000X
Dentist
DE60658473
WA
1223G0001X
General Practice Dentistry
Primary
DE60658473
WA

Other

Enumeration date
02/22/2017
Last updated
04/16/2021
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