| Lacey Modern Dentistry | |
|
5122 Yelm Hwy Se Suite E Lacey WA 98503-5034 | |
| (360) 528-7878 | |
| (360) 528-7754 |
| Full Name | Lacey Modern Dentistry |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 5122 Yelm Hwy Se, Lacey, Washington |
| Authorized Official Name and Position | Brian S Bienstock (OWNER) |
| Authorized Official Contact | 3605287878 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Lacey Modern Dentistry 17000 Red Hill Ave Irvine CA 92614-5626 Ph: (714) 845-8890 | Lacey Modern Dentistry 5122 Yelm Hwy Se Suite E Lacey WA 98503-5034 Ph: (360) 528-7878 |
| NPI Number | 1992183339 |
|---|---|
| Provider Enumeration Date | 05/18/2015 |
| Last Update Date | 05/18/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1992183339 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
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