Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Dr. Larae Van Derschelden

Individual provider Dentist · NPI 1740365873

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 305
Bothell, WA 98012-6384
Phone: (425) 481-1038
Fax: (425) 483-3158
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Dentist (primary) Taxonomy 122300000X · Licence 6076 (WA)

Record details

NPI number1740365873
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedOctober 26, 2006
Last updated in NPPESJuly 8, 2007

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