Organization
ADVANCED FAMILY DENTISTRY INC PS
Active
Other names
Advanced Family Dentistry
Organization subpart
No
Provider details
NPI number
Authorized official
ROMANINE LOCH DMD (PRESIDENT)
(425) 640-0207
Entity
Organization
Contact information
Practice address
20101 44TH AVE WEST, SUITE G, LYNNWOOD, WA 98036-6745
(425) 640-0207
(425) 640-0571
Mailing address
20101 44TH AVE WEST, SUITE G, LYNNWOOD, WA 98036-6745
(425) 640-0207
(425) 640-0571
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DE8560
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
5034335
—
WA
Enumeration date
10/12/2006
Last updated
08/22/2020
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