Lynnwood Kids Dentist | |
18833 28th Ave W Suite B Lynnwood WA 98036-4714 | |
(425) 774-1285 | |
(425) 774-1822 |
Full Name | Lynnwood Kids Dentist |
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Speciality | Dentist |
Location | 18833 28th Ave W, Lynnwood, Washington |
Authorized Official Name and Position | Roger Lucas (PRESIDENT) |
Authorized Official Contact | 4257741285 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Lynnwood Kids Dentist 18833 28th Ave W Suite B Lynnwood WA 98036-4714 Ph: (425) 774-1285 | Lynnwood Kids Dentist 18833 28th Ave W Suite B Lynnwood WA 98036-4714 Ph: (425) 774-1285 |
NPI Number | 1851670947 |
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Provider Enumeration Date | 08/08/2011 |
Last Update Date | 08/08/2011 |
Identifier | Type | State | Issuer |
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1851670947 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
122300000X | Dentist | DE00011254 (Washington) | Primary |
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