Individual
DR. LAVERN HENRY SWENSON
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
618 S PEABODY ST, #A, PORT ANGELES, WA 98362-6244
(360) 452-4615
Mailing address
1719 E 5TH ST, PORT ANGELES, WA 98362-4917
(360) 457-4284
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DE00004802
WA
Other
Enumeration date
08/19/2005
Last updated
07/08/2007
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