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Organization
EASTSIDE URGENT CARE DENTISTRY
Active
Organization
EASTSIDE URGENT CARE DENTISTRY
Active
Other names
Eastside Emergency Dentistry
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SHERILYN VICTORIA MALLOY DDS (PRESIDENT)
(360) 459-9694
Entity
Organization
Contact information
Practice address
220 LILLY RD NE, STE B, OLYMPIA, WA 98506
(360) 459-9694
(360) 459-9657
Mailing address
220 LILLY RD NE, STE B, OLYMPIA, WA 98506
(360) 459-9694
(360) 459-9657
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
—
NULL
122300000X
Dentist
Primary
—
—
Other
Enumeration date
11/20/2006
Last updated
08/22/2020
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