| Family Dentistry On Lacey | |
|
4445 Lacey Blvd Se Lacey WA 98503-5716 | |
| (360) 491-2532 | |
| Not Available |
| Full Name | Family Dentistry On Lacey |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 4445 Lacey Blvd Se, Lacey, Washington |
| Authorized Official Name and Position | Hillary Thull (CREDENTIALING COORDINATOR) |
| Authorized Official Contact | 2175408946 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Family Dentistry On Lacey 4445 Lacey Blvd Se Lacey WA 98503-5716 Ph: () - | Family Dentistry On Lacey 4445 Lacey Blvd Se Lacey WA 98503-5716 Ph: (360) 491-2532 |
| NPI Number | 1104566728 |
|---|---|
| Provider Enumeration Date | 03/31/2022 |
| Last Update Date | 04/13/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1104566728 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
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