Northwest Center for Prosthodontics
NPI #1548779515 in Olympia, Washington
Provider Information
- NPI Number
- 1548779515
- Entity Type
- Organization
- Organization Name
- Northwest Center for Prosthodontics
- Primary Specialty
- Dentist - Prosthodontics
- Enumeration Date
- Sep 22, 2017
- Last Updated
- Jul 21, 2022
Practice Location
- Address
- 3425 ENSIGN RD NE STE 210
- City
- Olympia
- State
- Washington
- ZIP Code
- 98506-5063
- Phone
- (406) 599-4642
Authorized Official
- Name
- JOSHUA A MANCHESTER, DDS, MSD
- Title
- DENTIST
- Phone
- (406) 599-4642
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist - Prosthodontics — Prosthodontics |
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