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Lance Wicklund, DMD
NPI 1831267947 · on the registry since 2006
Practice
- Address
- 9723 Coppertop Loop Ne
Suite 101
Bainbridge Island, WA 98110 - Phone
- (206) 842-6624
- Fax
- (206) 780-5654
- Organisation at this address
- Wicklund Dental,
Inferred from a shared address, not stated in the registry.
Registry record
- Primary taxonomy
- General Practice Dentistry
1223G0001X
- Licence states on file
- WA
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2017-01-20
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Washington