| NPI | 1851670947 |
|---|---|
| Doing Business As | LYNNWOOD KIDS DENTIST |
| Entity Type | Organization |
| Authorized Contact | ROGER LUCAS President 425-774-1285 |
| Organization Subpart ? | No |
| Primary Taxonomy | 122300000X Dentist (Licence: WA DE00011254) |
| Enumeration Date | 2011-08-08 |
| Last Update Date | 2011-08-08 |