| Lynnwoodsmiles | |
|
19514 64th Ave W Ste A Lynnwood WA 98036-5199 | |
| (425) 774-0111 | |
| Not Available |
| Full Name | Lynnwoodsmiles |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 19514 64th Ave W Ste A, Lynnwood, Washington |
| Authorized Official Name and Position | Dale Thomas Townsen (OWNER) |
| Authorized Official Contact | 4257740111 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Lynnwoodsmiles 19514 64th Ave W Ste A Lynnwood WA 98036-5199 Ph: (425) 774-0111 | Lynnwoodsmiles 19514 64th Ave W Ste A Lynnwood WA 98036-5199 Ph: (425) 774-0111 |
| NPI Number | 1831349968 |
|---|---|
| Provider Enumeration Date | 09/25/2008 |
| Last Update Date | 09/25/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1831349968 | NPI | - | NPPES |
| 1285718700 | Other | WA | AETNA, CIGNA, GUARDIAN, METLIFE, PREMERA, REGENCE, WDS -DELTA, UNITED CONCORDIA |
| 1164589206 | Other | WA | DELTA DENTAL, REGENCE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | DE00003742 (Washington) | Primary |
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