SUSANNAH FAYE BOHANNON

OLYMPIA, WA
NPI1538303284
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy1223G0001X Dentist General Practice
(Licence: WA  DE60034344)
Enumeration Date2009-04-24
Last Update Date2009-04-24
Business Address
DR. SUSANNAH FAYE BOHANNON DMD
4210 MARTIN WAY E #101
OLYMPIA, WA 98516-5325
Phone number: 360-455-9544
Mailing Address
DR. SUSANNAH FAYE BOHANNON DMD
4210 MARTIN WAY E #101
OLYMPIA, WA 98516-5325
Phone number: 360-455-9544
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