# LAKEVIEW DENTAL CLINIC

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

## Provider details

- **NPI number:** 1255790861
- **Authorized official:** DR. CHUNG HAO TSEN DMD (GENERAL DENTIST)
- **Authorized official phone:** (425) 334-2900

## Contact information

- **Practice address:** 9421 N DAVIES RD, LAKE STEVENS, WA 98258-9444
- **Practice address phone:** (425) 334-2900
- **Practice address fax:** (425) 334-6958
- **Mailing address:** 9421 N DAVIES RD, LAKE STEVENS, WA 98258-9444
- **Mailing address phone:** (425) 334-2900
- **Mailing address fax:** (425) 334-6958

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QD0000X | Dental Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 02/11/2016
- **Last updated:** 03/27/2016