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Olympic Dental Center Llc
Dental Clinic/Center in Centralia, Washington
NPI 1841318912

Olympic Dental Center Llc is a Dental Clinic/Center based in Centralia, WA and is specialized in Dental. Olympic Dental Center Llc practices in Centralia, WA. The NPI Number for Olympic Dental Center Llc is 1841318912 and holds a License No. (Washington).

The current practice location address for Olympic Dental Center Llc is 716 W Main St, Centralia, WA and can be reached out via phone at 360-736-0795 and via fax at 360-330-1637.

Location: 716 W Main St, Centralia, WA, 98531-2847
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1841318912
Provider Name
Olympic Dental Center Llc
Credential
Provider Entity Type
Organization
Address
716 W Main St, Centralia, WA, 98531-2847
Phone Number
360-736-0795
Fax Number
360-330-1637
Provider Enumeration Date
03/27/2007
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
5038377 05 WA
1412978 01 WA UNITED CONCORDIA PROVIDER
institution
Provider Business Practice Location Address Details
Address
716 W Main St
City
Centralia
State
Washington
Zip
98531-2847
Phone Number
360-736-0795
Fax Number
360-330-1637
person
Provider Business Mailing Address Details
Address
716 W Main St
City
Centralia
State
Washington
Zip
98531-2847
Phone Number
360-736-0795
Fax Number
360-330-1637
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Dental
Taxonomy
261QD0000X
License No.
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Definition
Definition to come...
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