Marandas, Steven G
Marandas, Steven G is an sole proprietor health care provider with primary practice located at 1452 Hudson St Suite #200, Longview WA 98632-3066. He recently has only one registered license in Dental Providers / Dentist, which is considered as his primary health care specialty. Marandas, Steven G can be contacted via phone (360) 425-9090.Contact Information
Primary practice address
1452 Hudson St Suite #200
Longview WA 98632-3066
Phone: (360) 425-9090
Fax: (360) 425-7323
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / Dentist | 122300000X | D8959 | Washington |
Profile Details
| NPI number | 1275691834 |
|---|---|
| LBN Legal business name | Marandas, Steven G |
| Credentials | Doctor of Dental Medicine (DMD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Dec 5th, 2006 |
| Last updated | Jul 8th, 2007 - about 19 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1275691834 | NPPES |
| Washington | MEDICAID | 5046883 |
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