Individual
LUCAS MESDAG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
1807 COLUMBIA COVE LN S, ROCK ISLAND, WA 98850-9570
(509) 293-2015
Mailing address
1807 COLUMBIA COVE LN S, ROCK ISLAND, WA 98850-9570
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
10192
WA
Other
Enumeration date
01/29/2007
Last updated
07/01/2009
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