Provider Demographics
NPI:1730293853
Name:PARLEE, MARY T (DDS)
Entity Type:Individual
Prefix:DR
First Name:MARY
Middle Name:T
Last Name:PARLEE
Suffix:
Gender:F
Credentials:DDS
Other - Prefix:
Other - First Name:
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Mailing Address - Street 1:14406 NE 20TH AVE.
Mailing Address - Street 2:SALMON CREEK DENTAL OFFICE
Mailing Address - City:VANCOUVER
Mailing Address - State:WA
Mailing Address - Zip Code:98686-1448
Mailing Address - Country:US
Mailing Address - Phone:360-571-3139
Mailing Address - Fax:360-571-3149
Practice Address - Street 1:14406 NE 20TH AVE
Practice Address - Street 2:SALMON CREEK DENTAL OFFICE
Practice Address - City:VANCOUVER
Practice Address - State:WA
Practice Address - Zip Code:98686-1448
Practice Address - Country:US
Practice Address - Phone:360-571-3139
Practice Address - Fax:360-571-3149
Is Sole Proprietor?:No
Enumeration Date:2006-08-18
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
WADE 68321223E0200X
CA275521223E0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223E0200XDental ProvidersDentistEndodontics