Herbert Todd DDS

NPI #1174059638 in Lacey, Washington

Provider Information

NPI Number: 1174059638
Entity Type: Organization
Organization Name: Herbert Todd DDS
Primary Specialty: Dentist
Enumeration Date: May 3, 2017
Last Updated: May 3, 2017

Practice Location

Address: 4445 LACEY BLVD SE
City: Lacey
State: Washington
ZIP Code: 98503-5716
Phone: (360) 491-2532

Authorized Official

Name: DANITA CLARK
Title: OFFICE MANAGER
Phone: (360) 491-2532

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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