Lakewood Dentist Office | |
10011 Bridgeport Way Sw Suite 700 Lakewood WA 98499-2332 | |
(714) 845-8890 | |
(949) 474-1495 |
Full Name | Lakewood Dentist Office |
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Speciality | Dentist - General Practice |
Location | 10011 Bridgeport Way Sw, Lakewood, Washington |
Authorized Official Name and Position | William Mcglashan (OWNER) |
Authorized Official Contact | 7148458890 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Lakewood Dentist Office 17000 Red Hill Ave Irvine CA 92614-5626 Ph: (714) 845-8890 | Lakewood Dentist Office 10011 Bridgeport Way Sw Suite 700 Lakewood WA 98499-2332 Ph: (714) 845-8890 |
NPI Number | 1962956136 |
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Provider Enumeration Date | 08/05/2016 |
Last Update Date | 08/05/2016 |
Identifier | Type | State | Issuer |
---|---|---|---|
1962956136 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
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