| Mountain Smiles, Pllc | |
|
8765 Tallon Ln Ne # 1 Lacey WA 98516-6654 | |
| (360) 577-0566 | |
| Not Available |
| Full Name | Mountain Smiles, Pllc |
|---|---|
| Speciality | Dentist |
| Location | 8765 Tallon Ln Ne # 1, Lacey, Washington |
| Authorized Official Name and Position | Angel Gimenez (CREDENTIALING MANAGER) |
| Authorized Official Contact | 7193005933 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Mountain Smiles, Pllc 8765 Tallon Ln Ne # 1 Lacey WA 98516-6654 Ph: (360) 577-0566 | Mountain Smiles, Pllc 8765 Tallon Ln Ne # 1 Lacey WA 98516-6654 Ph: (360) 577-0566 |
| NPI Number | 1083410237 |
|---|---|
| Provider Enumeration Date | 02/19/2025 |
| Last Update Date | 02/27/2025 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1083410237 | NPI | - | NPPES |
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