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Organization

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Active
Organization subpart
No

Provider details

NPI number
Authorized official
MRS. FAHARIA SHINN (DIRECTOR)
(253) 649-0181
Entity
Organization

Contact information

Practice address
5122 OLYMPIC DR STE A101, GIG HARBOR, WA 98335-1768
(253) 649-0181
(253) 313-5892
Mailing address
5122 OLYMPIC DR STE A101, GIG HARBOR, WA 98335-1768
(253) 649-0181
(253) 313-5892

Taxonomy

Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary

Other

Enumeration date
01/27/2022
Last updated
01/27/2022
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