Provider Demographics
NPI:1366556938
Name:DURFLINGER, MARIE A (DDS)
Entity type:Individual
Prefix:DR
First Name:MARIE
Middle Name:A
Last Name:DURFLINGER
Suffix:
Gender:F
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1340 8TH ST NE
Mailing Address - Street 2:SUITE 103
Mailing Address - City:AUBURN
Mailing Address - State:WA
Mailing Address - Zip Code:98002-4700
Mailing Address - Country:US
Mailing Address - Phone:253-833-2200
Mailing Address - Fax:253-833-0829
Practice Address - Street 1:1340 8TH ST NE
Practice Address - Street 2:SUITE 103
Practice Address - City:AUBURN
Practice Address - State:WA
Practice Address - Zip Code:98002-4700
Practice Address - Country:US
Practice Address - Phone:253-833-2200
Practice Address - Fax:253-833-0829
Is Sole Proprietor?:Yes
Enumeration Date:2006-08-19
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WADE74371223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice