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1205412467
PACIFIC NORTHWEST DENTAL GROUP, LLC
OLYMPIA, WA
NPI
1205412467
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Entity Type
Organization
Authorized Contact
CHAD KLEVEN
Owner
360-995-0025
Organization Subpart ?
No
Primary Taxonomy
261QD0000X Clinic/Center, Dental
Enumeration Date
2021-03-18
Last Update Date
2021-03-18
Business Address
PACIFIC NORTHWEST DENTAL GROUP, LLC
2728 WESTMOOR CT SW STE D
OLYMPIA, WA 98502-5779
Phone number: 360-995-0025
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Mailing Address
PACIFIC NORTHWEST DENTAL GROUP, LLC
870 11TH AVE
LONGVIEW, WA 98632-2402
Phone number:
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