Edward D. Lacy, Dmd. Fagd, Pc

NPI 1043369598 - Dentist - 1223G0001X

NPI Details
NPI 1043369598
Enumeration Date 01/10/2007
Last Updated 07/08/2007
Entity Type Healthcare Provider
Active Over 9 years ago
Authorized Information
Name EDWARD D EDWARD
Position PRESIDENT
Phone (503) 692-0337
Fax (503) 692-0792
Practice Location
8220 SW WARM SPRINGS ST
SUITE 200
TUALATIN OR, 97062-9097, US
Phone (503) 692-0337
Fax (503) 692-0792
Business Location
8220 SW WARM SPRINGS ST
SUITE 200
TUALATIN OR, 97062-9097, US
Phone (503) 692-0337
Fax (503) 692-0792
Toxanomy
Taxonomy Code 1223G0001X
License State Oregon
License Number D4844
Remove 1043369598 NPI Number
 

According to our database, Edward D. Lacy, Dmd. Fagd, Pc NPI is 1043369598, taxonomy code is 1223G0001X and license number is D4844, license state is located at Oregon. Edward D. Lacy, Dmd. Fagd, Pc physically located at 8220 Sw Warm Springs St, Tualatin OR, 97062-9097. NPI Number 1033115704 has the healthcare provider type.

Sponsored links

1043369598 NPI number is provided on an as is basis without warranty of any kind. 1043369598 is maintained by the National Plan & Provider Enumeration System. The contents of Edward D. Lacy, Dmd. Fagd, Pc are for informational purposes only.