| NPI | 1265573448 |
|---|---|
| Former Legal Business Name | CARL E. LINDQUIST SCHOOL CLINIC |
| Entity Type | Organization |
| Authorized Contact | SHERWIN R. SHINN Dental Director 253-539-7445 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223P0221X Dentist, Pediatric Dentistry (Licence: WA DE00004723) |
| Enumeration Date | 2007-02-09 |
| Last Update Date | 2009-06-18 |