Individual
DR. LARAE VAN DERSCHELDEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
17917 BOTHELL EVERETT HWY, SUITE 305, BOTHELL, WA 98012-6384
(425) 481-1038
(425) 483-3158
Mailing address
17917 BOTHELL EVERETT HWY, SUITE 305, BOTHELL, WA 98012-6384
(425) 481-1038
(425) 483-3158
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
6076
WA
Other
Enumeration date
10/26/2006
Last updated
07/08/2007
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