Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Martha Lake Dental Center

Organization Dentist · NPI 1649475799

Martha Lake Dental Center is a Dentist in Lynnwood, Washington. Licensed in Washington. Registered with an NPI since 2007.

Licensed in
WA
In the registry since
2007

Practice location Address checks out

1233 164th St SW Ste #H
Lynnwood, WA 98087
Phone: (425) 787-2402
Fax: (425) 787-5350
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Dentist (primary) Taxonomy 122300000X · Licence DE9941 (WA)

Record details

NPI number1649475799
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Andrew Tran — President · (425) 787-2402
NPI enumeratedJune 19, 2007
Last updated in NPPESAugust 22, 2020
Mailing address1233 164th St Sw, Ste #H, Lynnwood, WA 98087

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