Organization
LAWRENCE E. MAST DDS
Active
Parent organization
LAWRENCE E. MAST DDS
Other names
Snoqualmie Valley Kids Dentist
Organization subpart
Yes
Provider details
NPI number
Legal business name
LAWRENCE E. MAST DDS
Authorized official
MRS. LANETTE MCINTOSH (BUSINESS MANAGER)
(425) 455-0784
Entity
Organization
Contact information
Practice address
34929 SE RIDGE ST STE 220, SNOQUALMIE, WA 98065-6306
(425) 396-1011
(425) 396-1258
Mailing address
34929 SE RIDGE ST STE 220, SNOQUALMIE, WA 98065-6306
(425) 396-1011
(425) 396-1258
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
4233
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
5018171
—
WA
05
—
5052956
—
WA
Enumeration date
10/28/2008
Last updated
11/17/2008
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