Lynnwood Dental Excellence DDS Msd Ps INC
NPI #1306923560 in Lynnwood, Washington
Provider Information
- NPI Number
- 1306923560
- Entity Type
- Organization
- Organization Name
- Lynnwood Dental Excellence DDS Msd Ps INC
- Primary Specialty
- Dentist - General Practice
- Enumeration Date
- Nov 1, 2006
- Last Updated
- Feb 24, 2021
Practice Location
- Address
- 4202 198TH ST SW
- Address 2
- SUITE #3
- City
- Lynnwood
- State
- Washington
- ZIP Code
- 98036-6730
- Phone
- (425) 775-0651
Authorized Official
- Name
- MRS. DIANE E CLEMENS
- Title
- OFFICE MANAGER
- Phone
- (425) 775-0654
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist - General Practice — General Practice |
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