Organization
HYODOLEEMAGELSENYI III, PLLC
Active
Other names
Lakewood Dental Care
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SHAWN F MAGELSEN DDS (PARTNER/OWNER)
(360) 652-1400
Entity
Organization
Contact information
Practice address
2704 -171ST PL. NE,, SUITE L-101, MARYSVILLE, WA 98271-4712
(360) 652-1400
(360) 652-1433
Mailing address
2704 -171ST PL. NE,, SUITE L-101, MARYSVILLE, WA 98271-4712
(360) 652-1400
(360) 652-1433
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
602870164
WA
Other
Enumeration date
02/26/2009
Last updated
02/26/2009
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