South Sound Family Dentistry, Pllc
NPI #1164585634 in Olympia, Washington
Provider Information
- NPI Number
- 1164585634
- Entity Type
- Organization
- Organization Name
- South Sound Family Dentistry, Pllc
- Primary Specialty
- Dentist - General Practice
- Enumeration Date
- Dec 18, 2006
- Last Updated
- Apr 19, 2016
Practice Location
- Address
- 703 LILLY RD NE STE 201
- City
- Olympia
- State
- Washington
- ZIP Code
- 98506-5256
- Phone
- (360) 459-3400
Authorized Official
- Name
- DR. LEVI G GREEN, DDS
- Title
- PRESIDENT
- Phone
- (360) 459-3400
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist - General Practice — General Practice |
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