Individual
DR. CAROL AICHA O'BRIEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.D.S.
Contact information
Practice address
7424 BRIDGEPORT WAY W., #201, LAKEWOOD, WA 98499-8134
(253) 582-2408
(253) 584-7024
Mailing address
7424 BRIDGEPORT WAY W., #201, LAKEWOOD, WA 98499-8134
(253) 582-2408
(253) 584-7024
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DE00008789
WA
Other
Enumeration date
03/21/2007
Last updated
07/08/2007
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