# EASTSIDE URGENT CARE DENTISTRY

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Eastside Emergency Dentistry
- **Organization subpart:** No

## Provider details

- **NPI number:** 1851465090
- **Authorized official:** DR. SHERILYN VICTORIA MALLOY DDS (PRESIDENT)
- **Authorized official phone:** (360) 459-9694

## Contact information

- **Practice address:** 220 LILLY RD NE, STE B, OLYMPIA, WA 98506
- **Practice address phone:** (360) 459-9694
- **Practice address fax:** (360) 459-9657
- **Mailing address:** 220 LILLY RD NE, STE B, OLYMPIA, WA 98506
- **Mailing address phone:** (360) 459-9694
- **Mailing address fax:** (360) 459-9657

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 122300000X | Dentist | — | NULL | Yes |
| 122300000X | Dentist | — | — | Yes |

## Other

- **Enumeration date:** 11/20/2006
- **Last updated:** 08/22/2020