| Herbert Todd Dds | |
|
4445 Lacey Blvd Se Lacey WA 98503-5716 | |
| (360) 491-2532 | |
| (360) 923-9565 |
| Full Name | Herbert Todd Dds |
|---|---|
| Speciality | Dentist |
| Location | 4445 Lacey Blvd Se, Lacey, Washington |
| Authorized Official Name and Position | Danita Clark (OFFICE MANAGER) |
| Authorized Official Contact | 3604912532 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Herbert Todd Dds 4445 Lacey Blvd Se Lacey WA 98503-5716 Ph: (360) 491-2532 | Herbert Todd Dds 4445 Lacey Blvd Se Lacey WA 98503-5716 Ph: (360) 491-2532 |
| NPI Number | 1174059638 |
|---|---|
| Provider Enumeration Date | 05/03/2017 |
| Last Update Date | 05/03/2017 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1174059638 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 7656 (Washington) | Primary |
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