Organization
MARTHA LAKE DENTAL CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ANDREW T TRAN DDS (PRESIDENT)
(425) 787-2402
Entity
Organization
Contact information
Practice address
1233 164TH ST SW, STE #H, LYNNWOOD, WA 98087
(425) 787-2402
(425) 787-5350
Mailing address
1233 164TH ST SW, STE #H, LYNNWOOD, WA 98087
(425) 787-2402
(425) 787-5350
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
DE9941
WA
Other
Enumeration date
06/19/2007
Last updated
08/22/2020
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