| Lynnwood Dental Studio | |
|
5017 196th St Sw Ste 202 Lynnwood WA 98036-6123 | |
| (425) 778-5665 | |
| (425) 778-3356 |
| Full Name | Lynnwood Dental Studio |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 5017 196th St Sw Ste 202, Lynnwood, Washington |
| Authorized Official Name and Position | Suman Chintala (PRESIDENT) |
| Authorized Official Contact | 4257785665 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Lynnwood Dental Studio 5017 196th St Sw Ste 202 Lynnwood WA 98036-6123 Ph: (425) 778-5665 | Lynnwood Dental Studio 5017 196th St Sw Ste 202 Lynnwood WA 98036-6123 Ph: (425) 778-5665 |
| NPI Number | 1740706373 |
|---|---|
| Provider Enumeration Date | 08/15/2017 |
| Last Update Date | 07/21/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1740706373 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | DE00011103 (Washington) | Primary |
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