Individual
SOPHIE LOUISE PATENAUDE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DMD
Contact information
Practice address
1953 POTTERY AVE, PORT ORCHARD, WA 98366-2558
(360) 876-6211
Mailing address
1953 POTTERY AVE, PORT ORCHARD, WA 98366-2558
(360) 876-6211
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
DE60504242
WA
Other
Enumeration date
04/02/2022
Last updated
04/16/2025
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