South Lake Family Dentistry
South Lake Family Dentistry is a Dentist in Lake Stevens, Washington. Licensed in Washington. Registered with an NPI since 2014.
- Licensed in
- WA
- In the registry since
- 2014
Practice location Address checks out
10515 20th St SE Ste 201Lake Stevens, WA 98258-4764
Phone: (425) 334-9600
Fax: (425) 334-9900
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Dentist (primary) | Taxonomy 122300000X · Licence 7981 (WA) |
|---|
Record details
| NPI number | 1275942518 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Todd Miesel — Owner · (425) 334-9600 |
| NPI enumerated | August 12, 2014 |
| Last updated in NPPES | August 12, 2014 |
| Mailing address | 10515 20th St Se, Suite 201, Lake Stevens, WA 98258-4764 |
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