Organization
LYNN R,, CHENEY, DDS, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. LYNN R CHENEY DDS (OWNER)
(360) 794-5788
Entity
Organization
Contact information
Practice address
1221 W MAIN ST, MONROE, WA 98272-2028
(360) 794-5788
(360) 863-0318
Mailing address
1221 W MAIN ST, MONROE, WA 98272-2028
(360) 794-5788
(360) 863-0318
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DE00008524
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
5032297
—
WA
Enumeration date
03/22/2006
Last updated
10/03/2012
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