Pspd - Lake Stevens Pllc
NPI #1154675064 in Lake Stevens, Washington
Provider Information
- NPI Number
- 1154675064
- Entity Type
- Organization
- Organization Name
- Pspd - Lake Stevens Pllc
- Subpart
- Yes (part of a larger organization)
- Parent Organization
- LUGO DMD MARYSVILLE PS
- Primary Specialty
- Dentist - Pediatric Dentistry
- Enumeration Date
- Oct 30, 2012
- Last Updated
- Apr 11, 2022
Practice Location
- Address
- 9421 N. DAVIES ROAD #A
- City
- Lake Stevens
- State
- Washington
- ZIP Code
- 98258
- Phone
- (425) 367-4149
Authorized Official
- Name
- MRS. JESSICA R KNIGHT
- Title
- ACCOUNT RECEIVABLE MANAGER
- Phone
- (425) 367-4149
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist - Pediatric Dentistry — Pediatric Dentistry |
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