Northwest Center For Prosthodontics | |
3425 Ensign Rd Ne Ste 210 Olympia WA 98506-5425 | |
(360) 459-4400 | |
Not Available |
Full Name | Northwest Center For Prosthodontics |
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Speciality | Dentist - Prosthodontics |
Location | 3425 Ensign Rd Ne, Olympia, Washington |
Authorized Official Name and Position | Rodger Alton Lawton (OWNER) |
Authorized Official Contact | 3604594400 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Northwest Center For Prosthodontics 3425 Ensign Rd Ne Ste 210 Olympia WA 98506-5425 Ph: (360) 459-4400 | Northwest Center For Prosthodontics 3425 Ensign Rd Ne Ste 210 Olympia WA 98506-5425 Ph: (360) 459-4400 |
NPI Number | 1043476211 |
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Provider Enumeration Date | 08/06/2008 |
Last Update Date | 08/06/2008 |
Identifier | Type | State | Issuer |
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1043476211 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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1223P0700X | Dentist - Prosthodontics | 6940 (Washington) | Primary |
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