| NPI | 1508604992 |
|---|---|
| Doing Business As | DENTISTS OF LACEY |
| Entity Type | Organization |
| Authorized Contact | JESSICA AHN Owner 360-637-4609 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice |
| Enumeration Date | 2024-07-18 |
| Last Update Date | 2024-07-18 |