Lenore Sm Ingram DDS Ps

NPI #1902090210 in Olympia, Washington

Provider Information

NPI Number: 1902090210
Entity Type: Organization
Organization Name: Lenore Sm Ingram DDS Ps
Primary Specialty: Dentist - General Practice
Enumeration Date: Aug 29, 2007
Last Updated: Aug 29, 2007

Practice Location

Address: 1415 HARRISON AVE NW
Address 2: SUITE 102
City: Olympia
State: Washington
ZIP Code: 98502-5332
Phone: (360) 754-9300

Authorized Official

Name: MISS LENORE SM INGRAM, DDS
Title: PRESIDENT
Phone: (360) 754-9300

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist - General Practice — General Practice	1223G0001X	Primary

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