Organization
NORTHWEST DENTAL GROUP PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. MEAGAN MARIE MURPHY (CORPORATE LAISON)
(253) 306-1514
Entity
Organization
Contact information
Practice address
417 SW SEDGWICK RD STE 101, PORT ORCHARD, WA 98367-6449
(360) 329-4657
Mailing address
417 SW SEDGWICK RD STE 101, PORT ORCHARD, WA 98367-6449
(253) 306-1514
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
—
—
Other
Enumeration date
12/20/2023
Last updated
12/20/2023
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