Organization
LAWRENCE E MAST DDS PS
Active
Other names
Bellevue Kids Dentist
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. LA NETTE A MC INTOSH (OFFICE MANAGER)
(425) 455-0784
Entity
Organization
Contact information
Practice address
2150 112 AVE NE #A, BELLEVUE, WA 98004
(425) 455-0784
(425) 451-3999
Mailing address
2150 112 AVE NE #A, BELLEVUE, WA 98004
(425) 455-0784
(425) 451-3999
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
4233
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
5018171
—
WA
Enumeration date
08/31/2006
Last updated
11/17/2008
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