Organization
HOUSE, LEE, MAST, MCDONALD AND NELSON, PC
Active
Parent organization
HOUSE, LEE, MAST, MCDONALD AND NELSON, PC
Other names
A Kids Place Dentistry for Children
Organization subpart
Yes
Provider details
NPI number
Legal business name
HOUSE, LEE, MAST, MCDONALD AND NELSON, PC
Authorized official
LANETTE MCINTOSH (REGIONAL OPERATIONS MANAGER)
(425) 396-1011
Entity
Organization
Contact information
Practice address
451 DUVALL AVE NE, SUITE 140, RENTON, WA 98059-4675
(425) 228-5437
(425) 663-7990
Mailing address
451 DUVALL AVE NE, SUITE 140, RENTON, WA 98059-4675
(425) 228-5437
(425) 663-7990
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
5048921
—
WA
Enumeration date
04/05/2013
Last updated
12/30/2020
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