Organization
PAUL J. LUND PROFESSIONAL SERVICES
Active
Other names
Milestone Kids Dentistry
Organization subpart
No
Provider details
NPI number
Authorized official
DR. PAUL J LUND DDS (CEO)
(425) 512-9887
Entity
Organization
Contact information
Practice address
16820 SMOKEY POINT BLVD, ARLINGTON, WA 98223-8458
(425) 512-9887
Mailing address
1206 6TH ST, SNOHOMISH, WA 98290-2454
(425) 512-9887
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1223P0221X
DENTIST-PEDIATRIC DENTISTRY
—
Enumeration date
06/16/2022
Last updated
06/16/2022
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