# PLANCICH DENTAL, PLLC

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

## Provider details

- **NPI number:** 1912532763
- **Authorized official:** DR. GREGORY J PLANCICH DDS (OWNER)
- **Authorized official phone:** (253) 272-7400

## Contact information

- **Practice address:** 5726 100TH ST SW, LAKEWOOD, WA 98499-2730
- **Practice address phone:** (253) 581-2777
- **Mailing address:** 2312 N 30TH ST STE 201, TACOMA, WA 98403-3356

## Taxonomy

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

## Other

- **Enumeration date:** 03/11/2020
- **Last updated:** 03/11/2020