| R Graham Mcentire Dds | |
|
3622 Ensign Rd Ne Suite D Olympia WA 98506-5081 | |
| (360) 456-1200 | |
| (360) 456-0213 |
| Full Name | R Graham Mcentire Dds |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 3622 Ensign Rd Ne, Olympia, Washington |
| Authorized Official Name and Position | Ronald Graham Mcentire (OWNER) |
| Authorized Official Contact | 3604561200 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| R Graham Mcentire Dds 3622 Ensign Rd Ne Suite D Olympia WA 98506-5081 Ph: (360) 456-1200 | R Graham Mcentire Dds 3622 Ensign Rd Ne Suite D Olympia WA 98506-5081 Ph: (360) 456-1200 |
| NPI Number | 1538379417 |
|---|---|
| Provider Enumeration Date | 05/22/2007 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1538379417 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | DE00007097 (Washington) | Primary |
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