Healthcare Provider Details

I. General information

NPI: 1023290335
Provider Name (Legal Business Name): MARIE A DURFLINGER
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/28/2007
Last Update Date: 11/28/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

15613 BEL RED RD BLDG B, SUITE C
BELLEVUE WA
98008-2348
US

IV. Provider business mailing address

1340 8TH ST NE SUITE #103
AUBURN WA
98002-4700
US

V. Phone/Fax

Practice location:
  • Phone: 425-558-5522
  • Fax: 425-869-7699
Mailing address:
  • Phone: 253-833-2200
  • Fax: 253-833-0829

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1223G0001X
TaxonomyGeneral Practice Dentistry
License NumberDE7437
License Number StateWA

VIII. Authorized Official

Name: DR. MARIE A DURFLINGER
Title or Position: DENTIST
Credential: R.D.H., D.D.S.
Phone: 253-833-2200