# LANCE TIMMERMAN DMDPS

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1033542725
- **Authorized official:** DR. LANCE BRANDON TIMMERMAN DMD (DENTIST/OWNER)
- **Authorized official phone:** (206) 241-5533

## Contact information

- **Practice address:** 7100 FORT DENT WAY, SUITE \#270, TUKWILA, WA 98188-7500
- **Practice address phone:** (206) 241-5533
- **Practice address fax:** (206) 241-5538
- **Mailing address:** 7100 FORT DENT WAY, SUITE \#270, TUKWILA, WA 98188-7500
- **Mailing address phone:** (206) 241-5533
- **Mailing address fax:** (206) 241-5538

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 122300000X | Dentist | 8229 | WA | Yes |
| 332BC3200X | Customized Equipment (DME) | — | NULL | — |

## Other

- **Enumeration date:** 08/16/2013
- **Last updated:** 08/16/2013