Organization
J.A. DENTURE CLINIC LLC
Active
Other names
J.A. Dental Laboratory
Organization subpart
No
Provider details
NPI number
Authorized official
NATALIA LUKASHOVA D.P.D (OWNER)
(206) 566-8900
Entity
Organization
Contact information
Practice address
3226 208TH PL SW, LYNNWOOD, WA 98036-7884
(206) 566-8900
Mailing address
3226 208TH PL SW, LYNNWOOD, WA 98036-7884
(206) 566-8900
Taxonomy
Speciality
Code
Description
License number
State
122400000X
Denturist
Primary
DN60457526
WA
292200000X
Dental Laboratory
603550350
WA
Other
Enumeration date
11/14/2016
Last updated
11/14/2016
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