Organization
JEANINE E NORDEEN DDS, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JEANINE E NORDEEN DDS (OWNER)
(707) 670-0054
Entity
Organization
Contact information
Practice address
8765 TALLON LN NE STE I, LACEY, WA 98516-6654
(360) 878-2931
Mailing address
730 SUTTER LN SE UNIT 102, LACEY, WA 98503-1464
(707) 670-0054
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
07/23/2024
Last updated
07/23/2024
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