Search › Washington › 122400000X
Larry Pevny, DENTURIST
NPI 1194960161 · on the registry since 2008
Practice
- Address
- 619 Cedar Ave
Marysville, WA 98270 - Phone
- (360) 659-6300
- Fax
- (360) 691-7881
- Organisation at this address
- Pioneer Denture Clinic, Inc
Inferred from a shared address, not stated in the registry.
Registry record
- Primary taxonomy
- 122400000X
122400000X
- Licence states on file
- WA
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2008-12-04
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Washington