| Douglas J Brajcich Jr & Julie Lum Dmd P.c. | |
|
515 Hwy 9 Ste 102 Lake Stevens WA 98258-8523 | |
| (425) 334-6912 | |
| Not Available |
| Full Name | Douglas J Brajcich Jr & Julie Lum Dmd P.c. |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 515 Hwy 9 Ste 102, Lake Stevens, Washington |
| Authorized Official Name and Position | Douglas James Brajcich (PRESIDENT) |
| Authorized Official Contact | 6174481347 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Douglas J Brajcich Jr & Julie Lum Dmd P.c. 515 Hwy 9 Ste 102 Lake Stevens WA 98258-8523 Ph: (425) 334-6912 | Douglas J Brajcich Jr & Julie Lum Dmd P.c. 515 Hwy 9 Ste 102 Lake Stevens WA 98258-8523 Ph: (425) 334-6912 |
| NPI Number | 1659505667 |
|---|---|
| Provider Enumeration Date | 05/05/2009 |
| Last Update Date | 05/05/2009 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1659505667 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 21884 (Massachusetts) | Secondary |
| 1223G0001X | Dentist - General Practice | DE 60083523 (Washington) | Primary |
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