# OLYMPIC DENTAL CENTER, LLC

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

## Provider details

- **NPI number:** 1780733204
- **Authorized official:** MR. JOHN ANDERSON D.P.D (DENTURIST)
- **Authorized official phone:** (360) 438-8299

## Contact information

- **Practice address:** 4408 PACIFIC AVE SE, LACEY, WA 98503-1119
- **Practice address phone:** (360) 438-8299
- **Practice address fax:** (360) 438-1399
- **Mailing address:** 4408 PACIFIC AVE SE, LACEY, WA 98503-1119
- **Mailing address phone:** (360) 438-8299
- **Mailing address fax:** (360) 438-1399

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QD0000X | Dental Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 01/10/2007
- **Last updated:** 08/22/2020