person
Mr. Derek T Pawlak, LD
Denturist in Lynden, Washington
NPI 1477548766

Derek T Pawlak is a Denturist based in Lynden, WA. Derek T Pawlak practices in Lynden, WA and has the professional credentials of LD. The NPI Number for Derek T Pawlak is 1477548766 and holds a License No. 025108DN00000270 (Washington).

The current practice location address for Derek T Pawlak is 161 Bay Lyn Dr, Lynden, WA and can be reached out via phone at 360-318-0880 and via fax at 360-318-0880. You can also correspond with Derek T Pawlak through the mailing address at 161 BAY LYN DR, LYNDEN, WA - 98264-9404 (mailing address contact number: 360-318-0880).

Location: 161 Bay Lyn Dr, Lynden, WA, 98264-9404
person
Provider Profile Details
NPI Number
1477548766
Provider Name
Derek T Pawlak
Credential
LD
Provider Entity Type
Individual
Gender
Male
Address
161 Bay Lyn Dr, Lynden, WA, 98264-9404
Phone Number
360-318-0880
Fax Number
360-318-0880
Provider Enumeration Date
09/13/2005
Last Update Date
03/08/2024
tick
Provider's Legacy Identifiers
Identifier Type State Issuer
025108DN00000270 01 WA DEPT OF HEALTH
5036017 05 WA
institution
Provider Business Practice Location Address Details
Address
161 Bay Lyn Dr
City
State
Zip
98264-9404
Phone Number
360-318-0880
Fax Number
360-318-0880
person
Provider Business Mailing Address Details
Address
161 Bay Lyn Dr
City
State
Zip
98264-9404
Phone Number
360-318-0880
Fax Number
360-318-0880
person
Provider's Taxonomy Details 1
Type
Dental Providers
Classification
Denturist
Speciality
-
Taxonomy
License No.
025108DN00000270 (Washington)
Definition
Definition to come.
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