La Vince Group, P.s DBA
NPI #1811295827 in Yelm, Washington
Provider Information
- NPI Number
- 1811295827
- Entity Type
- Organization
- Organization Name
- La Vince Group, P.s DBA
- Primary Specialty
- Dentist - General Practice
- Enumeration Date
- Mar 1, 2011
- Last Updated
- Mar 1, 2011
Practice Location
- Address
- 202 FIRST STREET SOUTH
- City
- Yelm
- State
- Washington
- ZIP Code
- 98597-1568
- Phone
- (360) 458-7645
Authorized Official
- Name
- DR. LEE ANNE CAMPBELL
- Title
- OWNER/DENTIST
- Phone
- (360) 458-7645
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist - General Practice — General Practice |
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