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Individual

DR. LYNN R CHENEY

Inactive
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
DDS

Contact information

Practice address
13525 NE 188TH PL, WOODINVILLE, WA 98072-8764
(206) 353-7253
Mailing address
13525 NE 188TH PL, WOODINVILLE, WA 98072-8764
(206) 353-7253

Taxonomy

Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DE00008524
WA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
DE00008524
STATE LICENSE
WA
Enumeration date
07/12/2005
Last updated
10/03/2012
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