Organization
THERON MANSON DDS PS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
THERON ANGUS MANSON DDS (DENTIST/PRESIDENT)
(425) 823-1909
Entity
Organization
Contact information
Practice address
9750 NE 120TH PL #8, KIRKLAND, WA 98034-4207
(425) 823-1909
(425) 823-8969
Mailing address
9750 NE 120TH PL #8, KIRKLAND, WA 98034-4207
(425) 823-1909
(425) 823-8969
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
9434
WA
Other
Enumeration date
10/04/2012
Last updated
10/04/2012
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