Provider Demographics
NPI:1518088186
Name:LAMARCHE, MICHAEL G (DDS)
Entity Type:Individual
Prefix:DR
First Name:MICHAEL
Middle Name:G
Last Name:LAMARCHE
Suffix:
Gender:M
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:15129 MAIN ST.
Mailing Address - Street 2:SUITE 202
Mailing Address - City:MILL CREEK
Mailing Address - State:WA
Mailing Address - Zip Code:98012-6316
Mailing Address - Country:US
Mailing Address - Phone:206-383-6938
Mailing Address - Fax:866-586-5348
Practice Address - Street 1:15129 MAIN ST
Practice Address - Street 2:SUITE 202
Practice Address - City:MILL CREEK
Practice Address - State:WA
Practice Address - Zip Code:98012-9036
Practice Address - Country:US
Practice Address - Phone:206-383-6938
Practice Address - Fax:866-586-5348
Is Sole Proprietor?:Yes
Enumeration Date:2007-04-02
Last Update Date:2010-01-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WA4762122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist