| Lake City Dental Group | |
|
3340 Ne 125th St Seattle WA 98125-8911 | |
| (206) 363-6868 | |
| Not Available |
| Full Name | Lake City Dental Group |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 3340 Ne 125th St, Seattle, Washington |
| Authorized Official Name and Position | John Cheng (OWNER) |
| Authorized Official Contact | 2063636868 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Lake City Dental Group 3340 Ne 125th St Seattle WA 98125-8911 Ph: (206) 363-6868 | Lake City Dental Group 3340 Ne 125th St Seattle WA 98125-8911 Ph: (206) 363-6868 |
| NPI Number | 1346634300 |
|---|---|
| Provider Enumeration Date | 03/26/2015 |
| Last Update Date | 03/26/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1346634300 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | DE60056985 (Washington) | Primary |
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