Individual
MS. MARILYN JEAN REUSCH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
R.D.H.
Contact information
Practice address
1404 CENTRAL AVE S, SUITE 101, KENT, WA 98032-7433
(206) 296-4586
(206) 205-8012
Mailing address
431 SW NORMANDY RD, NORMANDY PARK, WA 98166-3907
(206) 241-8412
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
DH00002336
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
5901103
—
WA
Enumeration date
11/15/2006
Last updated
07/09/2007
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