Individual
DR. RANDY E LINDBLAD
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
68 SW 13TH ST, CHEHALIS, WA 98532-0985
(360) 748-1833
(360) 748-3807
Mailing address
PO BOX 985, CHEHALIS, WA 98532-0985
(360) 748-1833
(360) 748-3807
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
5850
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
5006531
—
WA
Enumeration date
03/01/2006
Last updated
07/08/2007
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