| Brightnow Dental Olympia Black Lake | |
|
1530 Black Lake Blvd Sw Ste A103 Olympia WA 98502-5612 | |
| (360) 338-7152 | |
| (360) 943-0152 |
| Full Name | Brightnow Dental Olympia Black Lake |
|---|---|
| Speciality | Dentist - Orthodontics And Dentofacial Orthopedics |
| Location | 1530 Black Lake Blvd Sw Ste A103, Olympia, Washington |
| Authorized Official Name and Position | Lorilee Schmidt (PRESIDENT) |
| Authorized Official Contact | 7145786358 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Brightnow Dental Olympia Black Lake 100 Spectrum Center Drive Suite 1500 Irvine CA 98502-5612 Ph: (714) 578-6358 | Brightnow Dental Olympia Black Lake 1530 Black Lake Blvd Sw Ste A103 Olympia WA 98502-5612 Ph: (360) 338-7152 |
| NPI Number | 1851736680 |
|---|---|
| Provider Enumeration Date | 05/07/2013 |
| Last Update Date | 10/10/2017 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1851736680 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223X0400X | Dentist - Orthodontics And Dentofacial Orthopedics | (* (Not Available)) | Primary |
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