Organization
FAMILY DENTISTRY AT HAWKS PRAIRIE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. TRUYEN O'LEARY D.D.S (DENTIST)
(360) 456-1000
Entity
Organization
Contact information
Practice address
9321 MARTIN WAY E., SUITE 101, LACEY, WA 98516
(360) 456-1000
(360) 456-3515
Mailing address
9321 MARTIN WAY E., SUITE 101, LACEY, WA 98516
(360) 456-1000
(360) 456-3515
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
WA00009847
WA
Other
Enumeration date
09/13/2007
Last updated
09/13/2007
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