Bender, Marissa N.

Bender, Marissa N. is an individual health care provider with primary practice located at 5017 196Th St Sw Ste 202, Lynnwood WA 98036-6123. She recently has only one registered license in Dental Providers / General Practice, which is considered as her primary health care specialty. Bender, Marissa N. can be contacted via phone (425) 778-5665.

Contact Information

Primary practice address
5017 196Th St Sw Ste 202 Lynnwood WA 98036-6123
Phone: (425) 778-5665
Fax: (425) 778-3356
Website:
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Health care specialties

SpecialtyCodeLicense #State
Dental Providers / General Practice 1223G0001X DE00009155 Washington

Profile Details

NPI number 1215988050
LBN Legal business name Bender, Marissa N.
Credentials DMD, MBA
Entity Individual
Sole proprietor 1 No
Enumeration date May 15th, 2006
Last updated Aug 13th, 2007 - about 18 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1215988050 NPPES
Washington Other 01606946 UNITED CONCORDIA PROVIDER
Washington Other 51909 UNITED CONCORDIA PROVIDER
Washington Other 5582BE UNITED CONCORDIA PROVIDER
Washington Other 28641 UNITED CONCORDIA PROVIDER
Washington Other 48726 UNITED CONCORDIA PROVIDER
Washington MEDICAID 5046057 UNITED CONCORDIA PROVIDER

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