Organization
LYNNWOOD DENTAL EXCELLENCE DDS MSD PS INC
Active
Other names
Lynnwood Dental Center
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. DIANE E CLEMENS (OFFICE MANAGER)
(425) 775-0654
Entity
Organization
Contact information
Practice address
4202 198TH ST SW, SUITE #3, LYNNWOOD, WA 98036-6730
(425) 775-0651
(425) 771-5085
Mailing address
4202 198TH ST SW, SUITE #3, LYNNWOOD, WA 98036-6730
(425) 775-0651
(425) 771-5085
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
7993
WA
Other
Enumeration date
11/01/2006
Last updated
02/24/2021
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