HYODOLEEMAGELSENYI III PLLC NPI 1710127030

NPI Information

NPI: 1710127030
Provider Name: HYODOLEEMAGELSENYI III, PLLC

Doing Business As: LAKEWOOD DENTAL CARE

Classification: Clinic/Center - 261QD0000X
Entity Type: Organization

Specialization: Dental

Address:
2704 -171ST PL. NE,
SUITE L-101
MARYSVILLE, WA
ZIP 98271
Phone: (360) 652-1400
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HYODOLEEMAGELSENYI III, PLLC is a dental clinic center in Marysville, WA. HYODOLEEMAGELSENYI III, PLLC NPI is 1710127030. The provider is registered as an organization entity type.
The provider Is Doing Business As Lakewood Dental Care.

The provider's business location address is:

2704 -171ST PL. NE,
SUITE L-101
MARYSVILLE, WA
ZIP 98271-712
Phone: (360) 652-1400
Fax: (360) 652-1433

The provider's authorized official is Shawn F Magelsen .
The authorized official title is Partner/owner and has the following contact phone number (360) 652-1400.

The enumeration date for this NPI number is 2/26/2009 and was last updated on 2/26/2009.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	261QD0000X	Clinic/Center	Dental	602870164	WASHINGTON	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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