South Sound Community College
NPI #1104951565 in Olympia, Washington
Provider Information
- NPI Number
- 1104951565
- Entity Type
- Organization
- Organization Name
- South Sound Community College
- Primary Specialty
- Dentist - General Practice
- Enumeration Date
- Feb 23, 2007
- Last Updated
- Aug 22, 2020
Practice Location
- Address
- 2011 MOTTMAN RD
- City
- Olympia
- State
- Washington
- ZIP Code
- 98512-6292
- Phone
- (360) 596-5295
Authorized Official
- Name
- MS. NANCY L MCKINNEY
- Title
- VP FOR ADMIN SVCS
- Phone
- (360) 596-5268
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist - General Practice — General Practice |
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