South Sound Dentures,ps

NPI #1669768545 in Olympia, Washington

Provider Information

NPI Number: 1669768545
Entity Type: Organization
Organization Name: South Sound Dentures,ps
Primary Specialty: Dentist
Enumeration Date: Jun 20, 2011
Last Updated: Jun 20, 2011

Practice Location

Address: 2728 WESTMOOR CT SW STE A
City: Olympia
State: Washington
ZIP Code: 98502-5779
Phone: (360) 709-9909

Authorized Official

Name: FRED E ELLIS, DPD
Title: OWNER/PRESIDENT
Phone: (360) 709-9909

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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