| Lake Meridian Dental Care | |
|
17327 Se 270th Pl Suite 113 Covington WA 98042-5451 | |
| (253) 455-7170 | |
| Not Available |
| Full Name | Lake Meridian Dental Care |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 17327 Se 270th Pl, Covington, Washington |
| Authorized Official Name and Position | Andrew Higgins (OWNER) |
| Authorized Official Contact | 7038640821 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Lake Meridian Dental Care 17327 Se 270th Pl Suite 113 Covington WA 98042-5451 Ph: (253) 455-7170 | Lake Meridian Dental Care 17327 Se 270th Pl Suite 113 Covington WA 98042-5451 Ph: (253) 455-7170 |
| NPI Number | 1548616501 |
|---|---|
| Provider Enumeration Date | 05/09/2016 |
| Last Update Date | 05/09/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1548616501 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | DE60538445 (Washington) | Primary |
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