Dr. Larae Van Derschelden
Dr. Larae Van Derschelden is a Dentist in Bothell, Washington. Practices as a sole proprietor. Licensed in Washington.
- Licensed in
- WA
- In the registry since
- 2006
Practice location Address checks out
17917 Bothell Everett Hwy Ste 305Bothell, WA 98012-6384
Phone: (425) 481-1038
Fax: (425) 483-3158
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Specialties & licences
| Dentist (primary) | Taxonomy 122300000X · Licence 6076 (WA) |
|---|
Record details
| NPI number | 1740365873 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Sole proprietor | Yes |
| NPI enumerated | October 26, 2006 |
| Last updated in NPPES | July 8, 2007 |
| Mailing address | 17917 Bothell Everett Hwy, Suite 305, Bothell, WA 98012-6384 |
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