Individual
LINDSEY JACKSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
16704 11TH AVE NE, ARLINGTON, WA 98223-9669
(425) 244-5256
Mailing address
16704 11TH AVE NE, ARLINGTON, WA 98223-9669
(425) 244-5256
Taxonomy
Speciality
Code
Description
License number
State
126800000X
Dental Assistant
Primary
60408968
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
60408968
DENTAL PROVIDER
WA
Enumeration date
03/12/2014
Last updated
03/12/2014
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