| Lavern H. Swenson Dds | |
|
618 S Peabody St Suite A Port Angeles WA 98362-6244 | |
| (360) 452-4615 | |
| (360) 452-0764 |
| Full Name | Lavern H. Swenson Dds |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 618 S Peabody St, Port Angeles, Washington |
| Authorized Official Name and Position | Lavern Henry Swenson (DENTIST OWNER) |
| Authorized Official Contact | 3604524615 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Lavern H. Swenson Dds 618 S Peabody St Suite A Port Angeles WA 98362-6244 Ph: (360) 452-4615 | Lavern H. Swenson Dds 618 S Peabody St Suite A Port Angeles WA 98362-6244 Ph: (360) 452-4615 |
| NPI Number | 1639358021 |
|---|---|
| Provider Enumeration Date | 11/01/2007 |
| Last Update Date | 11/01/2007 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1639358021 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | DE00004802 (Washington) | Primary |
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