Individual
LANCE DANIEL GERMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DE60369954
Contact information
Practice address
409 CUSTER WAY SE, SUITE C, TUMWATER, WA 98501-3350
(360) 570-8016
(306) 570-8275
Mailing address
409 CUSTER WAY SE, SUITE C, TUMWATER, WA 98501-3350
(360) 570-8016
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
DE60369954
WA
Other
Enumeration date
06/12/2013
Last updated
03/03/2015
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