Provider Demographics
NPI:1023213170
Name:LARHS, ANDREEA MARIA (DDS)
Entity Type:Individual
Prefix:DR
First Name:ANDREEA
Middle Name:MARIA
Last Name:LARHS
Suffix:
Gender:F
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:20501 10TH PL SW
Mailing Address - Street 2:
Mailing Address - City:NORMANDY PARK
Mailing Address - State:WA
Mailing Address - Zip Code:98166-4107
Mailing Address - Country:US
Mailing Address - Phone:206-878-1980
Mailing Address - Fax:206-878-1980
Practice Address - Street 1:1501 4TH AVE
Practice Address - Street 2:STE 312
Practice Address - City:SEATTLE
Practice Address - State:WA
Practice Address - Zip Code:98101-3225
Practice Address - Country:US
Practice Address - Phone:206-292-9900
Practice Address - Fax:206-233-2724
Is Sole Proprietor?:No
Enumeration Date:2007-06-19
Last Update Date:2016-09-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WADE000090061223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice