Family Dentistry at Hawks Prairie

NPI #1588859425 in Lacey, Washington

Provider Information

NPI Number: 1588859425
Entity Type: Organization
Organization Name: Family Dentistry at Hawks Prairie
Primary Specialty: Dentist
Enumeration Date: Sep 13, 2007
Last Updated: Sep 13, 2007

Practice Location

Address: 9321 MARTIN WAY E.
Address 2: SUITE 101
City: Lacey
State: Washington
ZIP Code: 98516
Phone: (360) 456-1000

Authorized Official

Name: DR. TRUYEN O'LEARY, D.D.S
Title: DENTIST
Phone: (360) 456-1000

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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