Organization
EHRMANTROUT & DAVIDSON, PLLC
Active
Other names
Hawks Prairie Pediatric Dentistry/ West Olympia Kids Dentistry
Organization subpart
No
Provider details
NPI number
Authorized official
MR. KENNETH A BLOCH (ATTORNEY)
(206) 682-3840
Entity
Organization
Contact information
Practice address
8685 MARTIN WAY E STE 101, LACEY, WA 98516-5857
(360) 489-1406
(360) 491-1270
Mailing address
8685 MARTIN WAY E STE 101, LACEY, WA 98516-5857
(360) 489-1406
(360) 491-1270
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
DE60112868
WA
Other
Enumeration date
05/06/2013
Last updated
09/21/2018
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