| Family Dentistry At Hawks Prairie | |
|
9321 Martin Way E. Suite 101 Lacey WA 98516 | |
| (360) 456-1000 | |
| (360) 456-3515 |
| Full Name | Family Dentistry At Hawks Prairie |
|---|---|
| Speciality | Dentist |
| Location | 9321 Martin Way E., Lacey, Washington |
| Authorized Official Name and Position | Truyen O'leary (DENTIST) |
| Authorized Official Contact | 3604561000 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Family Dentistry At Hawks Prairie 9321 Martin Way E. Suite 101 Lacey WA 98516 Ph: (360) 456-1000 | Family Dentistry At Hawks Prairie 9321 Martin Way E. Suite 101 Lacey WA 98516 Ph: (360) 456-1000 |
| NPI Number | 1588859425 |
|---|---|
| Provider Enumeration Date | 09/13/2007 |
| Last Update Date | 09/13/2007 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1588859425 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | WA00009847 (Washington) | Primary |
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