# LINDQUIST DENTAL CLINIC FOR CHILDREN

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1962953521
- **Authorized official:** MICHELLE GALVEZ (DIRECTOR OF CLINIC OPERATIONS / HR)
- **Authorized official phone:** (253) 830-2433

## Contact information

- **Practice address:** 130 131ST STREET SOUTH, TACOMA, WA 98444
- **Practice address phone:** (253) 539-7445
- **Mailing address:** 17713 89TH AVENUE EAST, PUYALLUP, WA 98375

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QD0000X | Dental Clinic/Center | DE60677357 | WA | Yes |

## Other

- **Enumeration date:** 10/19/2016
- **Last updated:** 10/19/2016