Organization
HERBERT TODD DDS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DANITA CLARK (OFFICE MANAGER)
(360) 491-2532
Entity
Organization
Contact information
Practice address
4445 LACEY BLVD SE, LACEY, WA 98503-5716
(360) 491-2532
(360) 923-9565
Mailing address
4445 LACEY BLVD SE, LACEY, WA 98503-5716
(360) 491-2532
(360) 923-9565
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
7656
WA
Other
Enumeration date
05/03/2017
Last updated
05/03/2017
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