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Organization

NISQUALLY GENERATIONS HEALING CENTER

Active
Organization subpart
No

Provider details

NPI number
Authorized official
CHRISTOPHER PETROZZI (ADMINISTRATOR)
(360) 218-7970
Entity
Organization

Contact information

Practice address
3661 PACIFIC AVE SE, OLYMPIA, WA 98501-2122
(360) 218-7970
Mailing address
3661 PACIFIC AVE SE, OLYMPIA, WA 98501-2122

Taxonomy

Speciality
Code
Description
License number
State
122300000X
Dentist
1223G0001X
General Practice Dentistry
Primary

Other

Enumeration date
08/19/2025
Last updated
08/19/2025
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