EDWARD D. LACY, DMD. FAGD, PC
Organization (NPI-2)
Active
Dentist, General Practice
Provider Information
- NPI Number
1043369598- Provider Type
- Organization / Facility (NPI-2)
- Status
- Active
Contact & Location
- Address
- 8220 SW WARM SPRINGS ST SUITE 200, TUALATIN, OR, 970629097
- Phone
- (503) 692-0337
- Fax
- (503) 692-0792
Specialties & Taxonomies
Dentist, General Practice
Primary License: OR #D4844