# WASHINGTON DENTAL CORPORATION PC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Dentists of Lacey
- **Organization subpart:** No

## Provider details

- **NPI number:** 1508604992
- **Authorized official:** JESSICA AHN DMD (OWNER)
- **Authorized official phone:** (360) 637-4609

## Contact information

- **Practice address:** 2390 MARVIN RD NE STE O, LACEY, WA 98516-1430
- **Practice address phone:** (360) 637-4609
- **Practice address fax:** (360) 707-4116
- **Mailing address:** PO BOX 920050, DALLAS, TX 75392-0050
- **Mailing address phone:** (714) 845-8890

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223G0001X | General Practice Dentistry | — | NULL | Yes |
| 1223G0001X | General Practice Dentistry | — | — | Yes |

## Other

- **Enumeration date:** 07/18/2024
- **Last updated:** 07/18/2024