Organization
PSPD - MONROE, PLLC
Active
Parent organization
LUGO DMD MARYSVILLE PS
Other names
Puget Sound Pediatric Dentistry
Organization subpart
Yes
Provider details
NPI number
Legal business name
LUGO DMD MARYSVILLE PS
Authorized official
MRS. JESSICA R KNIGHT (ACCOUNT RECEIVABLE MANAGER)
(360) 863-8700
Entity
Organization
Contact information
Practice address
14090 FRYELANDS BLVD SE STE 348, MONROE, WA 98272-2760
(360) 863-8700
(360) 822-7184
Mailing address
14090 FRYELANDS BLVD SE STE 348, MONROE, WA 98272-2760
(360) 863-8700
(360) 822-7184
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
DE00009918
WA
Other
Enumeration date
03/30/2010
Last updated
04/11/2022
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