| Martha Lake Dental Center | |
|
1233 164th St Sw Ste #h Lynnwood WA 98087 | |
| (425) 787-2402 | |
| (425) 787-5350 |
| Full Name | Martha Lake Dental Center |
|---|---|
| Speciality | Dentist |
| Location | 1233 164th St Sw, Lynnwood, Washington |
| Authorized Official Name and Position | Andrew T Tran (PRESIDENT) |
| Authorized Official Contact | 4257872402 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Martha Lake Dental Center 1233 164th St Sw Ste #h Lynnwood WA 98087 Ph: (425) 787-2402 | Martha Lake Dental Center 1233 164th St Sw Ste #h Lynnwood WA 98087 Ph: (425) 787-2402 |
| NPI Number | 1649475799 |
|---|---|
| Provider Enumeration Date | 06/19/2007 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1649475799 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | DE9941 (Washington) | Primary |
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