| Milestone Kids Dentistry | |
|
22 95th Dr Ne Lake Stevens WA 98258-7975 | |
| (425) 512-9887 | |
| Not Available |
| Full Name | Milestone Kids Dentistry |
|---|---|
| Speciality | Dentist - Pediatric Dentistry |
| Location | 22 95th Dr Ne, Lake Stevens, Washington |
| Authorized Official Name and Position | Paul Lund (OWNER) |
| Authorized Official Contact | 4255129887 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Milestone Kids Dentistry 22 95th Dr Ne Lake Stevens WA 98258-7975 Ph: (425) 512-9887 | Milestone Kids Dentistry 22 95th Dr Ne Lake Stevens WA 98258-7975 Ph: (425) 512-9887 |
| NPI Number | 1255735734 |
|---|---|
| Provider Enumeration Date | 10/13/2014 |
| Last Update Date | 10/13/2014 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1255735734 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223P0221X | Dentist - Pediatric Dentistry | DE60291991 (Washington) | Primary |
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