| Lakewood Dental Care | |
|
2704 -171st Pl. Ne, Suite L-101 Marysville WA 98271-4712 | |
| (360) 652-1400 | |
| (360) 652-1433 |
| Full Name | Lakewood Dental Care |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 2704 -171st Pl. Ne,, Marysville, Washington |
| Authorized Official Name and Position | Shawn F Magelsen (PARTNER/OWNER) |
| Authorized Official Contact | 3606521400 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Lakewood Dental Care 2704 -171st Pl. Ne, Suite L-101 Marysville WA 98271-4712 Ph: (360) 652-1400 | Lakewood Dental Care 2704 -171st Pl. Ne, Suite L-101 Marysville WA 98271-4712 Ph: (360) 652-1400 |
| NPI Number | 1710127030 |
|---|---|
| Provider Enumeration Date | 02/26/2009 |
| Last Update Date | 02/26/2009 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1710127030 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | 602870164 (Washington) | Primary |
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