| NPI | 1851043004 |
|---|---|
| Doing Business As | LACEY DENTURE CLINIC |
| Entity Type | Organization |
| Authorized Contact | KURT TOOLSON Owner 360-491-0804 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental |
| Enumeration Date | 2022-01-19 |
| Last Update Date | 2022-01-19 |