Lake Sammamish Family Dentistry

NPI #1093036709 in Issaquah, Washington

Provider Information

NPI Number: 1093036709
Entity Type: Organization
Organization Name: Lake Sammamish Family Dentistry
Primary Specialty: Dentist - General Practice
Enumeration Date: Jun 16, 2010
Last Updated: Jun 16, 2010

Practice Location

Address: 5712 E LAKE SAMMAMISH PKWY SE
Address 2: STE 108
City: Issaquah
State: Washington
ZIP Code: 98029-8943
Phone: (425) 392-3900

Authorized Official

Name: ANNA LISIN, DDS
Title: DENTIST
Phone: (425) 392-3900

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist - General Practice — General Practice	1223G0001X	Primary

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