# LYNNWOOD DENTAL EXCELLENCE DDS MSD PS INC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Lynnwood Dental Center
- **Organization subpart:** No

## Provider details

- **NPI number:** 1306923560
- **Authorized official:** MRS. DIANE E CLEMENS (OFFICE MANAGER)
- **Authorized official phone:** (425) 775-0654

## Contact information

- **Practice address:** 4202 198TH ST SW, SUITE \#3, LYNNWOOD, WA 98036-6730
- **Practice address phone:** (425) 775-0651
- **Practice address fax:** (425) 771-5085
- **Mailing address:** 4202 198TH ST SW, SUITE \#3, LYNNWOOD, WA 98036-6730
- **Mailing address phone:** (425) 775-0651
- **Mailing address fax:** (425) 771-5085

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223G0001X | General Practice Dentistry | 7993 | WA | Yes |

## Other

- **Enumeration date:** 11/01/2006
- **Last updated:** 02/24/2021