Organization
LA VINCE GROUP, P.S DBA
Active
Other names
Yelm Prairie Dental
Organization subpart
No
Provider details
NPI number
Authorized official
DR. LEE ANNE CAMPBELL (OWNER/DENTIST)
(360) 458-7645
Entity
Organization
Contact information
Practice address
202 FIRST STREET SOUTH, YELM, WA 98597-1568
(360) 458-7645
(360) 458-2745
Mailing address
PO BOX 1568, YELM, WA 98597-1568
(360) 458-7645
(360) 458-2745
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
03/01/2011
Last updated
03/01/2011
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