Organization · Type 2 NPI

Lavince Group PS

Dental Clinic/Center · Yelm, WA

NPI number 1043591043 Active

Practice location

202 First Street South,
Yelm, WA 98597

Fax (360) 458-2745

Mailing address

PO Box 1568
Yelm, WA 98597-1568

Specialties and licenses

TaxonomyCodeLicense
Dental Clinic/Center Primary 261QD0000XDE00006408 (WA)

Dental Clinic/Center: Definition to come...

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About NPI 1043591043

Lavince Group PS's National Provider Identifier is 1043591043, issued on Sep 2, 2011. The primary taxonomy on file is Dental Clinic/Center (261QD0000X), and the practice location is in Yelm, WA. The record was last updated on Sep 25, 2011.