Martha Lake Dental Center

NPI #1649475799 in Lynnwood, Washington

Provider Information

NPI Number: 1649475799
Entity Type: Organization
Organization Name: Martha Lake Dental Center
Primary Specialty: Dentist
Enumeration Date: Jun 19, 2007
Last Updated: Aug 22, 2020

Practice Location

Address: 1233 164TH ST SW
Address 2: STE #H
City: Lynnwood
State: Washington
ZIP Code: 98087
Phone: (425) 787-2402

Authorized Official

Name: DR. ANDREW T TRAN, DDS
Title: PRESIDENT
Phone: (425) 787-2402

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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