SearchWashington225100000X

Tate Besougloff

NPI 1639806417 · on the registry since 2022

Practice

Address
1242 State Ave Ste A
Marysville, WA 98270
Phone
(360) 572-5800
Fax
(360) 454-9043
Organisation at this address
Alpha Denture Clinic, Inc
Inferred from a shared address, not stated in the registry.
Clinicians at this address
6

Additional practice sites

  • 20 Ohlone Pkwy Ste D, Watsonville, CA

Registry record

Primary taxonomy
225100000X
225100000X
Also registered as
225100000X
Licence states on file
CA, WA
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2025-02-13

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