Lighthouse Dental 63090
Lighthouse Dental 63090 is a General Practice Dentistry in Washington, Missouri. Registered with an NPI since 2022.
- In the registry since
- 2022
Practice location Address checks out
560 E 14th StWashington, MO 63090-4535
Phone: (636) 390-9991
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| General Practice Dentistry (primary) | Taxonomy 1223G0001X |
|---|
Record details
| NPI number | 1801523592 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Melissa Zyk — Owner · (636) 390-9991 |
| NPI enumerated | August 3, 2022 |
| Last updated in NPPES | August 3, 2022 |
| Certification date | August 3, 2022 |
| Mailing address | 560 E 14th St, Washington, MO 63090-4535 |
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