Organization
SOUTH SOUND FAMILY DENTISTRY
Active
Parent organization
CAROL A. O'BRIEN, DDS, PS
Other names
South Sound Family Dentistry
Organization subpart
Yes
Provider details
NPI number
Legal business name
CAROL A. O'BRIEN, DDS, PS
Authorized official
CAROL A O'BRIEN DDS, PS INC (DENTIST/OWNER)
(253) 582-2408
Entity
Organization
Contact information
Practice address
703 LILLY RD NE, OLYMPIA, WA 98506-5191
(360) 459-3400
(360) 459-9700
Mailing address
3702 BRIDGEPORT WAY W STE A, UNIVERSITY PLACE, WA 98466-4438
(253) 582-2408
(253) 584-7024
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
DE000087989
WA
Other
Enumeration date
07/24/2018
Last updated
07/24/2018
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