Organization
HOUSE, LEE, MAST, MCDONALD AND NELSON, PC
Active
Parent organization
HOUSE, LEE, MAST, MCDONALD AND NELSON, PC
Other names
A Kids Place, Too--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
2617 CALIFORNIA AVE SW, SEATTLE, WA 98116-2404
(206) 933-5437
Mailing address
2617 CALIFORNIA AVE SW, SEATTLE, WA 98116-2404
(206) 933-5437
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2028317
—
WA
Enumeration date
08/23/2019
Last updated
12/30/2020
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