Wicklund Dental,
NPI #1194270702 in Bainbridge Island, Washington
Provider Information
- NPI Number
- 1194270702
- Entity Type
- Organization
- Organization Name
- Wicklund Dental,
- Primary Specialty
- Dentist
- Enumeration Date
- Aug 24, 2016
- Last Updated
- Aug 24, 2016
Practice Location
- Address
- 9723 COPPERTOP LOOP NE
- Address 2
- STE 101
- State
- Washington
- ZIP Code
- 98110-3699
- Phone
- (206) 842-6624
Authorized Official
- Name
- DR. LANCE F WICKLUND, DMD
- Title
- OWNER
- Phone
- (206) 842-6624
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist |
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