Organization
NORTHWEST CENTER FOR PROSTHODONTICS
Active
Other names
Olympia Smile Design
Organization subpart
No
Provider details
NPI number
Authorized official
JOSHUA A MANCHESTER DDS, MSD (DENTIST)
(406) 599-4642
Entity
Organization
Contact information
Practice address
3425 ENSIGN RD NE STE 210, OLYMPIA, WA 98506-5063
(406) 599-4642
Mailing address
3425 ENSIGN RD NE STE 210, OLYMPIA, WA 98506-5063
(406) 599-4642
Taxonomy
Speciality
Code
Description
License number
State
1223P0700X
Prosthodontics
Primary
DE60579609
WA
Other
Enumeration date
09/22/2017
Last updated
07/21/2022
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