| Ronald D. Cantu Dds | |
|
6226 196th St Sw Ste 2a Lynnwood WA 98036-5959 | |
| (425) 778-0707 | |
| (425) 778-4049 |
| Full Name | Ronald D. Cantu Dds |
|---|---|
| Speciality | Dentist |
| Location | 6226 196th St Sw Ste 2a, Lynnwood, Washington |
| Authorized Official Name and Position | Ronald David Cantu (OWNER) |
| Authorized Official Contact | 4257780707 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Ronald D. Cantu Dds 6226 196th St Sw Ste 2a Lynnwood WA 98036-5959 Ph: (425) 778-0707 | Ronald D. Cantu Dds 6226 196th St Sw Ste 2a Lynnwood WA 98036-5959 Ph: (425) 778-0707 |
| NPI Number | 1093260028 |
|---|---|
| Provider Enumeration Date | 08/19/2016 |
| Last Update Date | 08/19/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1093260028 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 4566 (Washington) | Primary |
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