| Smiles 4 Kids Lacey. Pc | |
|
3315 Pacific Avenue Se Suite A1 Olimpia WA 98501 | |
| (360) 491-1414 | |
| Not Available |
| Full Name | Smiles 4 Kids Lacey. Pc |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 3315 Pacific Avenue Se, Olimpia, Washington |
| Authorized Official Name and Position | Madison Lehman (CREDENTIALING SPECIALIST) |
| Authorized Official Contact | 7206034779 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Smiles 4 Kids Lacey. Pc 3315 Pacific Avenue Se Suite A1 Olimpia WA 98501 Ph: (360) 491-1414 | Smiles 4 Kids Lacey. Pc 3315 Pacific Avenue Se Suite A1 Olimpia WA 98501 Ph: (360) 491-1414 |
| NPI Number | 1982026407 |
|---|---|
| Provider Enumeration Date | 01/17/2014 |
| Last Update Date | 07/06/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1982026407 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | DE60282727 (Washington) | Primary |