# MALOOF & WICKLUND PLLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Winslow Dental Group
- **Organization subpart:** No

## Provider details

- **NPI number:** 1871707976
- **Authorized official:** DR. LANCE F WICKLUND DMD (OWNER)
- **Authorized official phone:** (206) 842-6624

## Contact information

- **Practice address:** 727 ERICKSEN AVE NE, SUITE 1, BAINBRIDGE ISLAND, WA 98110
- **Practice address phone:** (206) 842-6624
- **Practice address fax:** (206) 980-5654
- **Mailing address:** 727 ERICKSEN AVE NE, SUITE 1, BAINBRIDGE ISLAND, WA 98110
- **Mailing address phone:** (206) 842-6624
- **Mailing address fax:** (206) 980-5654

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 122300000X | Dentist | — | NULL | Yes |
| 122300000X | Dentist | — | — | Yes |

## Other

- **Enumeration date:** 05/09/2007
- **Last updated:** 08/22/2020