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
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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