Lucas Mesdag, DMD

NPI #1487790358 in Rock Island, Washington

Provider Information

NPI Number: 1487790358
Entity Type: Individual
Name: Lucas Mesdag, DMD
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Dentist
Credential: DMD
Enumeration Date: Jan 29, 2007
Last Updated: Jul 1, 2009

Practice Location

Address: 1807 COLUMBIA COVE LN S
City: Rock Island
State: Washington
ZIP Code: 98850-9570
Phone: (509) 293-2015

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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