Individual
LENA MAJ OMNELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DDS, MSD
Contact information
Practice address
4800 SAND POINT WAY NE, CD, SEATTLE, WA 98105-3901
(206) 987-2243
(206) 987-3891
Mailing address
2101 E YESLER WAY, SUITE 100, SEATTLE, WA 98122-5959
(206) 987-7254
(206) 987-7206
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
DE00006017
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0003556100
—
ID
05
—
0130084
—
MT
05
—
5000559
—
WA
05
—
DD601WA
—
AK
Enumeration date
09/22/2006
Last updated
07/17/2007
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