Individual
THOMAS OLLMANN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
419 E YOUNG ST, ELMA, WA 98541-9293
(360) 861-8318
Mailing address
507 WOODDUCK DR SW, OLYMPIA, WA 98502-2673
(651) 324-7077
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
DE61346068
WA
Other
Enumeration date
09/22/2022
Last updated
09/22/2022
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