Organization
DIXSON, P.S.
Active
Other names
South Sound Smiles Dental
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. DANA FRANCHESCA HULTGREN (INSURANCE MANAGER)
(360) 577-1440
Entity
Organization
Contact information
Practice address
344 CLEVELAND AVE SE, SUITE F, TUMWATER, WA 98501-3342
(360) 352-7140
(360) 956-9709
Mailing address
820 OCEAN BEACH HWY, SUITE 110, LONGVIEW, WA 98632-4080
(360) 577-0566
(360) 423-3343
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
9942
WA
Other
Enumeration date
11/09/2010
Last updated
11/09/2010
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