Organization
COPPIN & LANE, PLLC
Active
Other names
South Bay Periodontics
Organization subpart
No
Provider details
NPI number
Authorized official
EMILY ANNE ROBBINS (OFFICE MANAGER)
(360) 357-9880
Entity
Organization
Contact information
Practice address
720 LILLY RD SE, OLYMPIA, WA 98501-2199
(360) 357-9880
Mailing address
720 LILLY RD SE, OLYMPIA, WA 98501-2199
(360) 357-9880
Taxonomy
Speciality
Code
Description
License number
State
1223P0300X
Periodontics
Primary
—
—
Other
Enumeration date
05/01/2023
Last updated
03/05/2024
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