# LENORE SM INGRAM DDS PS

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Capital Family Dentistry
- **Organization subpart:** No

## Provider details

- **NPI number:** 1902090210
- **Authorized official:** MISS LENORE SM INGRAM DDS (PRESIDENT)
- **Authorized official phone:** (360) 754-9300

## Contact information

- **Practice address:** 1415 HARRISON AVE NW, SUITE 102, OLYMPIA, WA 98502-5332
- **Practice address phone:** (360) 754-9300
- **Mailing address:** 1415 HARRISON AVE NW, SUITE 102, OLYMPIA, WA 98502-5332
- **Mailing address phone:** (360) 754-9300

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223G0001X | General Practice Dentistry | 5076 | WA | Yes |

## Other

- **Enumeration date:** 08/29/2007
- **Last updated:** 08/29/2007