# HOUSE, LEE, MAST, MCDONALD AND NELSON, PC

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** HOUSE, LEE, MAST, MCDONALD AND NELSON, PC
- **Other names:** Snoqualmie Valley Kids Dentist
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1144465428
- **Legal business name:** HOUSE, LEE, MAST, MCDONALD AND NELSON, PC
- **Authorized official:** LANETTE MCINTOSH AO (REGIONAL OPERATIONS MANAGER)
- **Authorized official phone:** (425) 396-1011

## Contact information

- **Practice address:** 34929 SE RIDGE ST, SUITE 220, SNOQUALMIE, WA 98065-6306
- **Practice address phone:** (425) 396-1011
- **Practice address fax:** (425) 396-1258
- **Mailing address:** 34929 SE RIDGE ST, SUITE 220, SNOQUALMIE, WA 98065-6306
- **Mailing address phone:** (425) 396-1011
- **Mailing address fax:** (425) 396-1258

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 122300000X | Dentist | DE00009943 | WA | Yes |

## Other

- **Enumeration date:** 12/15/2008
- **Last updated:** 12/30/2020