Organization
MARIANNA BEETHAM, D.D.S., P.S.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
INNA RAND (OFFICE STAFF)
(425) 825-8800
Entity
Organization
Contact information
Practice address
12911 120TH AVE NE, STE B-60, KIRKLAND, WA 98034
(425) 825-8800
(425) 825-8808
Mailing address
12911 120TH AVE NE, STE B-60, KIRKLAND, WA 98034
(425) 825-8800
(425) 825-8808
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
9356
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1665021
UNITED CONCORDIA
—
01
—
2957KH
BLUECROSSBLUESHIELD
—
Enumeration date
02/21/2007
Last updated
04/20/2008
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