KRISTINE LAZAR GRACE

PUYALLUP, WA
NPI1407978281
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy1223S0112X Dentist, Oral and Maxillofacial Surgery
(Licence: WA  DE00008652)
Enumeration Date2007-04-04
Last Update Date2007-07-08
Business Address
Dr. KRISTINE LAZAR GRACE DDS, MS
11201 88TH AVE E #110
PUYALLUP, WA 98373-3802
Phone number: 253-445-0022
Mailing Address
Dr. KRISTINE LAZAR GRACE DDS, MS
11201 88TH AVE E #110
PUYALLUP, WA 98373-3802
Phone number: 253-445-0022