Organization
HOUSE, LEE, MAST, MCDONALD AND NELSON, PC
Active
Other names
Advanced Pediatric Dentistry and Orthodontics of Pasco
Organization subpart
No
Provider details
NPI number
Authorized official
LANETTE MCINTOSH (DIRECTOR OF OPERATIONS)
(425) 233-0971
Entity
Organization
Contact information
Practice address
9720 SANDIFUR PKWY, PASCO, WA 99301-9068
(509) 543-4948
(509) 543-6940
Mailing address
9720 SANDIFUR PKWY, PASCO, WA 99301-9068
(509) 543-4948
(509) 543-6940
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
DE60203055
WA
1223P0221X
Pediatric Dentistry
Primary
DE60203055
WA
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
DE60203055
WA
Other
Enumeration date
06/30/2009
Last updated
01/07/2025
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