Lacey Dental, LLC

NPI #1831520162 in Lacey, Washington

Provider Information

NPI Number: 1831520162
Entity Type: Organization
Organization Name: Lacey Dental, LLC
Primary Specialty: Dentist
Enumeration Date: Dec 12, 2013
Last Updated: Dec 12, 2013

Practice Location

Address: 1110 GALAXY DR NE
City: Lacey
State: Washington
ZIP Code: 98516-4763
Phone: (253) 537-1559

Authorized Official

Name: SCOTT PROBST, DDS
Title: OWNER
Phone: (253) 537-1559

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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