Individual
BRENDAN HAY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
4210 MARTIN WAY E, OLYMPIA, WA 98516-5325
(360) 455-9544
Mailing address
4210 MARTIN WAY E, OLYMPIA, WA 98516-5325
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
DE60680245
WA
1223G0001X
General Practice Dentistry
DE60680245
WA
Other
Enumeration date
08/04/2016
Last updated
08/04/2016
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