| Lee J Edwards Dds Pllc | |
|
1450 Northwest Ln Se Lacey WA 98503-6908 | |
| (360) 491-4343 | |
| Not Available |
| Full Name | Lee J Edwards Dds Pllc |
|---|---|
| Speciality | Dentist |
| Location | 1450 Northwest Ln Se, Lacey, Washington |
| Authorized Official Name and Position | Lee J Edwards (MEMBER) |
| Authorized Official Contact | 3604914343 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Lee J Edwards Dds Pllc 1450 Northwest Ln Se Lacey WA 98503-6908 Ph: (360) 491-4343 | Lee J Edwards Dds Pllc 1450 Northwest Ln Se Lacey WA 98503-6908 Ph: (360) 491-4343 |
| NPI Number | 1326384314 |
|---|---|
| Provider Enumeration Date | 12/18/2012 |
| Last Update Date | 12/18/2012 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1326384314 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 60234008 (Washington) | Primary |
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