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Organization
LIVER
Active
Organization
LIVER
Active
Other names
Eleven Eleven Dental, Livermont Hoskins Woodland Ames Boyack Despain PLLC
Organization subpart
No
Provider details
NPI number
Authorized official
ETHAN LIVERMONT DDS (OWNER/PARTNER)
(360) 565-5066
Entity
Organization
Contact information
Practice address
1111 COLUMBIA ST, PORT ANGELES, WA 98362-4207
(360) 565-5066
Mailing address
150 W SEQUIM BAY RD, SEQUIM, WA 98382-8406
(360) 565-5066
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
NULL
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
06/17/2026
Last updated
09/18/2026
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