Organization
DOUGLAS J BRAJCICH JR & JULIE LUM DMD P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DOUGLAS JAMES BRAJCICH DMD (PRESIDENT)
(617) 448-1347
Entity
Organization
Contact information
Practice address
515 HWY 9 STE 102, LAKE STEVENS, WA 98258-8523
(425) 334-6912
Mailing address
515 HWY 9 STE 102, LAKE STEVENS, WA 98258-8523
(425) 334-6912
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
21884
MA
1223G0001X
General Practice Dentistry
Primary
DE 60083523
WA
Other
Enumeration date
05/05/2009
Last updated
05/05/2009
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