| South Sound Family Dentistry | |
|
703 Lilly Rd Ne Olympia WA 98506-5191 | |
| (360) 459-3400 | |
| (360) 459-9700 |
| Full Name | South Sound Family Dentistry |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 703 Lilly Rd Ne, Olympia, Washington |
| Authorized Official Name and Position | Carol A O'brien (DENTIST/OWNER) |
| Authorized Official Contact | 2535822408 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| South Sound Family Dentistry 3702 Bridgeport Way W Ste A University Place WA 98466-4438 Ph: (253) 582-2408 | South Sound Family Dentistry 703 Lilly Rd Ne Olympia WA 98506-5191 Ph: (360) 459-3400 |
| NPI Number | 1801373683 |
|---|---|
| Provider Enumeration Date | 07/24/2018 |
| Last Update Date | 07/24/2018 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1801373683 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | DE000087989 (Washington) | Primary |
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