| Lacey Denture Clinic | |
|
3925 Pacific Ave Se Lacey WA 98503-1108 | |
| (360) 491-0804 | |
| Not Available |
| Full Name | Lacey Denture Clinic |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 3925 Pacific Ave Se, Lacey, Washington |
| Authorized Official Name and Position | Kurt Toolson (OWNER) |
| Authorized Official Contact | 3604910804 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Lacey Denture Clinic 3925 Pacific Ave Se Lacey WA 98503-1108 Ph: (360) 491-0804 | Lacey Denture Clinic 3925 Pacific Ave Se Lacey WA 98503-1108 Ph: (360) 491-0804 |
| NPI Number | 1851043004 |
|---|---|
| Provider Enumeration Date | 01/19/2022 |
| Last Update Date | 01/19/2022 |
| Certification Date | 01/19/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1851043004 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | () | Primary |
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