Individual
TACY LYN SELLS I
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RDA
Contact information
Practice address
17425 HIGHWAY 99, LYNNWOOD, WA 98037-3101
(425) 409-2105
Mailing address
9621 WOODS PL, SNOHOMISH, WA 98296-7128
(206) 326-0611
Taxonomy
Speciality
Code
Description
License number
State
126800000X
Dental Assistant
Primary
D1 60052961
WA
Other
Enumeration date
01/04/2016
Last updated
01/04/2016
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