Organization
FISHER JONES FAMILY DENTISTRY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MICHELLE R FISHER (H.R.)
(360) 943-4205
Entity
Organization
Contact information
Practice address
2415 PACIFIC AVE SE, SUITE A, OLYMPIA, WA 98501-2065
(360) 943-4644
(360) 943-2534
Mailing address
1910 4TH AVE E PMB 256, OLYMPIA, WA 98506-4632
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
6001675
WA
1223G0001X
General Practice Dentistry
Primary
6203
WA
1223G0001X
General Practice Dentistry
7112
WA
Other
Enumeration date
01/19/2007
Last updated
02/04/2009
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