Individual
DR. LAWRENCE EUGENE MAST
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS MSD PS
Contact information
Practice address
2150 112 AVE NE #A, BELLEVUE, WA 98004-2939
(425) 455-0784
(425) 451-3999
Mailing address
2150 112 AVE NE #A, BELLEVUE, WA 98004-2939
(425) 455-0784
(425) 451-3999
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
4233
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
5018171
—
WA
05
—
5390802
—
WA
Enumeration date
10/16/2006
Last updated
07/09/2007
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