Individual
DR. DONALD RUSSELL SWANSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
10908 GRAVELLY LAKE DR SW, LAKEWOOD, WA 98499-1330
(253) 582-7272
(253) 584-7467
Mailing address
10908 GRAVELLY LAKE DR SW, LAKEWOOD, WA 98499-1330
(253) 582-7272
(253) 584-7467
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
4550
WA
Other
Enumeration date
11/08/2006
Last updated
07/08/2007
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