institution
Pspd - Lake Stevens Pllc
Pediatric Dentist in Lake Stevens, Washington
NPI 1154675064

Pspd - Lake Stevens Pllc is a Pediatric Dentist based in Lake Stevens, WA and is specialized in Pediatric Dentistry. Pspd - Lake Stevens Pllc practices in Lake Stevens, WA. The NPI Number for Pspd - Lake Stevens Pllc is 1154675064 and holds a License No. DE00009918 (Washington).

The current practice location address for Pspd - Lake Stevens Pllc is 9421 N. Davies Road #A, Lake Stevens, WA and can be reached out via phone at 425-367-4149 and via fax at 425-609-4530.

Location: 9421 N. Davies Road #A, Lake Stevens, WA, 98258
institution
Provider Profile Details
NPI Number
1154675064
Provider Name
Pspd - Lake Stevens Pllc
Credential
Provider Entity Type
Organization
Address
9421 N. Davies Road #A, Lake Stevens, WA, 98258
Phone Number
425-367-4149
Fax Number
425-609-4530
Provider Enumeration Date
10/30/2012
Last Update Date
02/15/2025
institution
Provider Business Practice Location Address Details
Address
9421 N. Davies Road #A
City
State
Zip
98258
Phone Number
425-367-4149
Fax Number
425-609-4530
person
Provider Business Mailing Address Details
Address
9421 N. Davies Road #A
City
State
Zip
98258
Phone Number
425-367-4149
Fax Number
425-609-4530
person
Provider's Taxonomy Details 1
Type
Dental Providers
Classification
Dentist
Speciality
Pediatric Dentistry
Taxonomy
License No.
DE00009918 (Washington)
Definition
An age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs.
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