Organization
LENORE SM INGRAM DDS PS
Active
Other names
Capital Family Dentistry
Organization subpart
No
Provider details
NPI number
Authorized official
MISS LENORE SM INGRAM DDS (PRESIDENT)
(360) 754-9300
Entity
Organization
Contact information
Practice address
1415 HARRISON AVE NW, SUITE 102, OLYMPIA, WA 98502-5332
(360) 754-9300
Mailing address
1415 HARRISON AVE NW, SUITE 102, OLYMPIA, WA 98502-5332
(360) 754-9300
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
5076
WA
Other
Enumeration date
08/29/2007
Last updated
08/29/2007
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