Individual provider · Type 1 NPI

Edward D. Lacy, DMD, P.C.

General Practice Dentistry · Tualatin, OR

NPI number 1104076926 Active

About NPI 1104076926

Edward D. Lacy, DMD, P.C.'s National Provider Identifier is 1104076926, issued on Sep 29, 2008. The primary taxonomy on file is General Practice Dentistry (1223G0001X), and the practice location is in Tualatin, OR. The record was last updated on Sep 29, 2008.