Organization
LOREE BOLIN, DDS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. LOREE DALE OLSON-BOLIN DDS (OWNER)
(425) 218-2887
Entity
Organization
Contact information
Practice address
10025 19TH AVE SE, SUITE 200, EVERETT, WA 98208-4275
(425) 218-2887
Mailing address
18404 OLYMPIC VIEW DR, EDMONDS, WA 98020-2348
(425) 218-2887
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
WA6016
WA
Other
Enumeration date
07/26/2014
Last updated
07/26/2014
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