Nisqually Reach Family Dentistry

NPI #1215584701 in Lacey, Washington

Provider Information

NPI Number: 1215584701
Entity Type: Organization
Organization Name: Nisqually Reach Family Dentistry
Primary Specialty: Dentist
Enumeration Date: Aug 20, 2019
Last Updated: Aug 20, 2019

Practice Location

Address: 2521 MARVIN RD NE STE G
City: Lacey
State: Washington
ZIP Code: 98516-3153
Phone: (360) 458-5606

Authorized Official

Name: CARRIE GARNER
Title: EXECUTIVE ADMIN.
Phone: (360) 458-5606

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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