# CAROL A. O'BRIEN, DDS, PS

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

## Provider details

- **NPI number:** 1861602294
- **Authorized official:** DR. CAROL A. O'BRIEN DDS (OWNER)
- **Authorized official phone:** (253) 582-2408

## Contact information

- **Practice address:** 7424 BRIDGEPORT WAY W STE 201, LAKEWOOD, WA 98499-8134
- **Practice address phone:** (253) 582-2408
- **Practice address fax:** (253) 584-7024
- **Mailing address:** 7424 BRIDGEPORT WAY W STE 201, LAKEWOOD, WA 98499-8134
- **Mailing address phone:** (253) 582-2408
- **Mailing address fax:** (253) 584-7024

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223G0001X | General Practice Dentistry | DE00008789 | WA | Yes |

## Other

- **Enumeration date:** 05/23/2007
- **Last updated:** 08/22/2020