# FAMILY DENTISTRY AT HAWKS PRAIRIE

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1588859425
- **Authorized official:** DR. TRUYEN O'LEARY D.D.S (DENTIST)
- **Authorized official phone:** (360) 456-1000

## Contact information

- **Practice address:** 9321 MARTIN WAY E., SUITE 101, LACEY, WA 98516
- **Practice address phone:** (360) 456-1000
- **Practice address fax:** (360) 456-3515
- **Mailing address:** 9321 MARTIN WAY E., SUITE 101, LACEY, WA 98516
- **Mailing address phone:** (360) 456-1000
- **Mailing address fax:** (360) 456-3515

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 122300000X | Dentist | WA00009847 | WA | Yes |

## Other

- **Enumeration date:** 09/13/2007
- **Last updated:** 09/13/2007