| Sagawa Dds Pllc | |
|
911 5th Ave Se Ste 101 Olympia WA 98501-1505 | |
| (360) 352-9391 | |
| Not Available |
| Full Name | Sagawa Dds Pllc |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 911 5th Ave Se Ste 101, Olympia, Washington |
| Authorized Official Name and Position | Lezly Hartley (FINANCIAL COORDINATOR/BOOKKEEPER) |
| Authorized Official Contact | 3603529391 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Sagawa Dds Pllc 911 5th Ave Se Ste 101 Olympia WA 98501-1505 Ph: (360) 352-9391 | Sagawa Dds Pllc 911 5th Ave Se Ste 101 Olympia WA 98501-1505 Ph: (360) 352-9391 |
| NPI Number | 1952052045 |
|---|---|
| Provider Enumeration Date | 01/11/2022 |
| Last Update Date | 01/11/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1952052045 | NPI | - | NPPES |
| 10899 | Other | WA | STATE LICENSE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | (* (Not Available)) | Primary |
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