Organization
LAVERN H. SWENSON DDS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. LAVERN HENRY SWENSON DDS (DENTIST OWNER)
(360) 452-4615
Entity
Organization
Contact information
Practice address
618 S PEABODY ST, SUITE A, PORT ANGELES, WA 98362-6244
(360) 452-4615
(360) 452-0764
Mailing address
618 S PEABODY ST, SUITE A, PORT ANGELES, WA 98362-6244
(360) 452-4615
(360) 452-0764
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
DE00004802
WA
Other
Enumeration date
11/01/2007
Last updated
11/01/2007
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