Organization
PSPD - STANWOOD, PLLC
Active
Parent organization
LUGO DMD MARYSVILLE PS
Other names
Puget Sound Pediatric Dentistry
Organization subpart
Yes
Provider details
NPI number
Legal business name
LUGO DMD MARYSVILLE PS
Authorized official
MRS. JESSICA R. KNIGHT (ACCOUNTS RECEIVABLE MANAGER)
(360) 339-8000
Entity
Organization
Contact information
Practice address
7104 265TH ST NW STE 110, STANWOOD, WA 98292-6250
(360) 339-8000
(360) 339-8044
Mailing address
919 STATE AVE STE 104, MARYSVILLE, WA 98270-4284
(360) 659-8100
(360) 659-8133
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
DE00009918
WA
Other
Enumeration date
03/31/2016
Last updated
04/11/2022
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