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Organization
IM PROFESSIONAL SERVICES PLLC
Active
Organization
IM PROFESSIONAL SERVICES PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PATRICK IM DDS (OWNER)
(360) 779-4556
Entity
Organization
Contact information
Practice address
1040 NE HOSTMARK ST STE 100A, POULSBO, WA 98370-7337
(360) 779-4556
Mailing address
1040 NE HOSTMARK ST, POULSBO, WA 98370-7337
(360) 779-4556
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
NULL
332B00000X
Durable Medical Equipment & Medical Supplies
—
NULL
Other
Enumeration date
05/05/2023
Last updated
05/10/2023
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