Organization
NISQUALLY REACH FAMILY DENTISTRY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CARRIE GARNER (EXECUTIVE ADMIN.)
(360) 458-5606
Entity
Organization
Contact information
Practice address
2521 MARVIN RD NE STE G, LACEY, WA 98516-3153
(360) 458-5606
Mailing address
2521 MARVIN RD NE STE G, LACEY, WA 98516-3153
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
—
—
Other
Enumeration date
08/20/2019
Last updated
08/20/2019
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