# GREAT NORTHWEST DENTAL

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

## Provider details

- **NPI number:** 1174046049
- **Authorized official:** LINDSEY PAPAC DDS (DENTIST/OWNER)
- **Authorized official phone:** (253) 833-6033

## Contact information

- **Practice address:** 1346 8TH ST NE STE 100, AUBURN, WA 98002-4588
- **Practice address phone:** (253) 833-6033
- **Practice address fax:** (253) 833-6033
- **Mailing address:** 806 195TH AVE E, LAKE TAPPS, WA 98391-5614

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223G0001X | General Practice Dentistry | DE60099970 | WA | Yes |

## Other

- **Enumeration date:** 07/21/2017
- **Last updated:** 07/21/2017