Organization
LYNNWOODSMILES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DALE THOMAS TOWNSEN DDS (OWNER)
(425) 774-0111
Entity
Organization
Contact information
Practice address
19514 64TH AVE W STE A, LYNNWOOD, WA 98036-5199
(425) 774-0111
Mailing address
19514 64TH AVE W STE A, LYNNWOOD, WA 98036-5199
(425) 774-0111
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
DE00003742
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1164589206
DELTA DENTAL, REGENCE
WA
01
—
1285718700
AETNA, CIGNA, GUARDIAN, METLIFE, PREMERA, REGENCE, WDS -DELTA, UNITED CONCORDIA
WA
Enumeration date
09/25/2008
Last updated
09/25/2008
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