Organization
LARRANCE L COMMONS, DDS, PS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. DAWN AZALEA NELSON (BUSINESS MANAGER)
(206) 363-2300
Entity
Organization
Contact information
Practice address
17500 12TH AVE NE, SHORELINE, WA 98155-3769
(206) 363-2300
(206) 367-3880
Mailing address
17500 12TH AVE NE, SHORELINE, WA 98155-3769
(206) 363-2300
(206) 367-3880
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
8546
WA
Other
Enumeration date
07/28/2006
Last updated
08/22/2020
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