SOUTH LAKE FAMILY DENTISTRY

LAKE STEVENS, WA
NPI1275942518
Entity TypeOrganization
Authorized ContactTODD MIESEL
Owner
425-334-9600
Organization Subpart ?No
Primary Taxonomy122300000X Dentist
(Licence: WA  7981)
Enumeration Date2014-08-12
Last Update Date2014-08-12
Business Address
SOUTH LAKE FAMILY DENTISTRY
10515 20TH ST SE SUITE 201
LAKE STEVENS, WA 98258-4764
Phone number: 425-334-9600
Mailing Address
SOUTH LAKE FAMILY DENTISTRY
10515 20TH ST SE SUITE 201
LAKE STEVENS, WA 98258-4764
Phone number: 425-334-9600
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