Organization
SAGAWA DDS PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LEZLY HARTLEY (FINANCIAL COORDINATOR/BOOKKEEPER)
(360) 352-9391
Entity
Organization
Contact information
Practice address
911 5TH AVE SE STE 101, OLYMPIA, WA 98501-1505
(360) 352-9391
Mailing address
911 5TH AVE SE STE 101, OLYMPIA, WA 98501-1505
(360) 352-9391
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
10899
STATE LICENSE
WA
Enumeration date
01/11/2022
Last updated
01/11/2022
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