NPI 1124364344

Marla Jean Macleod-Martin, RDAEFDACERTIFIED

Practitioner Dental Assistant Vancouver, WA

Practice location

Address: 14406 NE 20th Ave, Vancouver, WA 98686-1448
Phone: (360) 571-3139
Mailing address: 111 Rockwood Dr, Stevenson, WA 98648-6423

Registered specialties

Dental Assistant Primary

Dental Providers Taxonomy 126800000X Licence A10895 (WA)

Other Dental Assistant providers in Washington →

Registry record

NPI: 1124364344
Entity type: Individual
Sex (as registered): Female
NPI issued: 14 Dec 2012
Record last updated: 14 Dec 2012

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.