# ADVANCED FAMILY DENTISTRY INC PS

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Advanced Family Dentistry
- **Organization subpart:** No

## Provider details

- **NPI number:** 1487743985
- **Authorized official:** ROMANINE LOCH DMD (PRESIDENT)
- **Authorized official phone:** (425) 640-0207

## Contact information

- **Practice address:** 20101 44TH AVE WEST, SUITE G, LYNNWOOD, WA 98036-6745
- **Practice address phone:** (425) 640-0207
- **Practice address fax:** (425) 640-0571
- **Mailing address:** 20101 44TH AVE WEST, SUITE G, LYNNWOOD, WA 98036-6745
- **Mailing address phone:** (425) 640-0207
- **Mailing address fax:** (425) 640-0571

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223G0001X | General Practice Dentistry | DE8560 | WA | Yes |

## Other

- **Enumeration date:** 10/12/2006
- **Last updated:** 08/22/2020

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 5034335 | — | WA |