Provider Demographics
NPI:1598034621
Name:MARIE DURFLINGER, DDS PLLC
Entity Type:Organization
Organization Name:MARIE DURFLINGER, DDS PLLC
Other - Org Name:BELLA DENTAL CARE
Other - Org Type:Other Name
Authorized Official - Title/Position:DENTIST
Authorized Official - Prefix:DR
Authorized Official - First Name:MARIE
Authorized Official - Middle Name:A
Authorized Official - Last Name:DURFLINGER
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:253-833-2200
Mailing Address - Street 1:1550 140TH AVE NE STE 110
Mailing Address - Street 2:
Mailing Address - City:BELLEVUE
Mailing Address - State:WA
Mailing Address - Zip Code:98005-4500
Mailing Address - Country:US
Mailing Address - Phone:253-833-2200
Mailing Address - Fax:253-833-0829
Practice Address - Street 1:1550 140TH AVE NE STE 110
Practice Address - Street 2:
Practice Address - City:BELLEVUE
Practice Address - State:WA
Practice Address - Zip Code:98005-4500
Practice Address - Country:US
Practice Address - Phone:253-833-2200
Practice Address - Fax:253-833-0829
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-12-19
Last Update Date:2011-12-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WADE7437122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes122300000XDental ProvidersDentistGroup - Single Specialty