Organization
LINDQUIST DENTAL CLINIC FOR CHILDREN
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MICHELLE GALVEZ (DIRECTOR OF CLINIC OPERATIONS / HR)
(253) 830-2433
Entity
Organization
Contact information
Practice address
130 131ST STREET SOUTH, TACOMA, WA 98444
(253) 539-7445
Mailing address
17713 89TH AVENUE EAST, PUYALLUP, WA 98375
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
DE60677357
WA
Other
Enumeration date
10/19/2016
Last updated
10/19/2016
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