# C LEA DMD PLLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Lynnwood Endodontics PLLC
- **Organization subpart:** No

## Provider details

- **NPI number:** 1881029593
- **Authorized official:** CARINA LEA DMD (PRESIDENT)
- **Authorized official phone:** (425) 672-3737

## Contact information

- **Practice address:** 18631 ALDERWOOD MALL PKWY STE 203, LYNNWOOD, WA 98037-8057
- **Practice address phone:** (425) 627-3737
- **Mailing address:** 18631 ALDERWOOD MALL PKWY STE 203, LYNNWOOD, WA 98037-8057
- **Mailing address phone:** (425) 627-3737

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223E0200X | Endodontics | DE60190114 | WA | Yes |

## Other

- **Enumeration date:** 09/12/2013
- **Last updated:** 09/12/2013