Healthcare Provider Details

I. General information

NPI: 1598034621
Provider Name (Legal Business Name): MARIE DURFLINGER, DDS PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/19/2011
Last Update Date: 12/19/2011
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1550 140TH AVE NE STE 110
BELLEVUE WA
98005-4500
US

IV. Provider business mailing address

1550 140TH AVE NE STE 110
BELLEVUE WA
98005-4500
US

V. Phone/Fax

Practice location:
  • Phone: 253-833-2200
  • Fax: 253-833-0829
Mailing address:
  • Phone: 253-833-2200
  • Fax: 253-833-0829

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code122300000X
TaxonomyDentist
License NumberDE7437
License Number StateWA

VIII. Authorized Official

Name: DR. MARIE A DURFLINGER
Title or Position: DENTIST
Credential: DDS
Phone: 253-833-2200