Smiles 4 Kids Lacey. PC

NPI #1982026407 in Olimpia, Washington

Provider Information

NPI Number: 1982026407
Entity Type: Organization
Organization Name: Smiles 4 Kids Lacey. PC
Primary Specialty: Dentist - General Practice
Enumeration Date: Jan 17, 2014
Last Updated: Jul 6, 2021

Practice Location

Address: 3315 PACIFIC AVENUE SE
Address 2: SUITE A1
City: Olimpia
State: Washington
ZIP Code: 98501
Phone: (360) 491-1414

Authorized Official

Name: MADISON LEHMAN
Title: CREDENTIALING SPECIALIST
Phone: (720) 603-4779

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist - General Practice — General Practice	1223G0001X	Primary

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