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Organization
JJ DENTAL LLC
Active
Organization
JJ DENTAL LLC
Active
Other names
Access Dental
Organization subpart
No
Provider details
NPI number
Authorized official
MS. KIMBERLY JOANN CAMPBELL (OFFICE MANAGER)
(206) 772-5673
Entity
Organization
Contact information
Practice address
2417 PACIFIC AVE SE # 1A, OLYMPIA, WA 98501-2052
(360) 878-8002
(360) 878-8186
Mailing address
7632 S 126TH ST, SEATTLE, WA 98178-4835
(206) 772-5673
(206) 772-5674
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
NULL
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1740514439
—
WA
Enumeration date
08/08/2017
Last updated
08/08/2017
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