Organization
LINDQUIST DENTAL CLINIC FOR CHILDREN
Active
Other names
Carl E. Lindquist School Clinic
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SHERWIN R. SHINN DDS (DENTAL DIRECTOR)
(253) 539-7445
Entity
Organization
Contact information
Practice address
130 131ST ST S, TACOMA, WA 98444-4804
(253) 539-7445
(253) 539-7538
Mailing address
130 131ST ST S, TACOMA, WA 98444-4804
(253) 539-7445
(253) 539-7538
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
DE00004723
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
5700109
—
WA
Enumeration date
02/09/2007
Last updated
06/18/2009
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