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Organization

DKEIDEK, FERNYHOUGH, GILE, HAGEL, NOV & QUICKSTAD PLLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
JANA JOHNSON (RCM)
(206) 430-2274
Entity
Organization

Contact information

Practice address
304 W BAY DR NW STE 201, OLYMPIA, WA 98502-4954
(360) 459-5900
Mailing address
304 W BAY DR NW STE 201, OLYMPIA, WA 98502-4954
(360) 459-5900

Taxonomy

Speciality
Code
Description
License number
State
1223P0300X
Periodontics
Primary

Other

Enumeration date
03/23/2026
Last updated
03/23/2026
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