Wicklund, Lance F
Wicklund, Lance F is an individual health care provider with primary practice located at 9723 Coppertop Loop Ne Suite 101, Bainbridge Island WA 98110. He recently has only one registered license in Dental Providers / General Practice, which is considered as his primary health care specialty. Wicklund, Lance F can be contacted via phone (206) 842-6624.Contact Information
Primary practice address
9723 Coppertop Loop Ne Suite 101
Bainbridge Island WA 98110
Phone: (206) 842-6624
Fax: (206) 780-5654
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / General Practice | 1223G0001X | WA9320 | Washington |
Profile Details
| NPI number | 1831267947 |
|---|---|
| LBN Legal business name | Wicklund, Lance F |
| Credentials | Doctor of Dental Medicine (DMD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Nov 30th, 2006 |
| Last updated | Jan 20th, 2017 - about 8 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
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