Provider Demographics
NPI:1326111782
Name:MCLAUGHLIN, ANTHONY GENO (DDS)
Entity Type:Individual
Prefix:DR
First Name:ANTHONY
Middle Name:GENO
Last Name:MCLAUGHLIN
Suffix:
Gender:M
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
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Other - Credentials:
Mailing Address - Street 1:8350 164TH AVE NE
Mailing Address - Street 2:SUITE #100
Mailing Address - City:REDMOND
Mailing Address - State:WA
Mailing Address - Zip Code:98052-3813
Mailing Address - Country:US
Mailing Address - Phone:425-883-1253
Mailing Address - Fax:425-885-5093
Practice Address - Street 1:8350 164TH AVE NE
Practice Address - Street 2:SUITE #100
Practice Address - City:REDMOND
Practice Address - State:WA
Practice Address - Zip Code:98052-3813
Practice Address - Country:US
Practice Address - Phone:425-883-1253
Practice Address - Fax:425-885-5093
Is Sole Proprietor?:No
Enumeration Date:2006-11-15
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
WA58561223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice