| NPI | 1558138677 |
|---|---|
| Doing Business As | OLYMPIC SMILECARE PORT TOWNSEND |
| Entity Type | Organization |
| Authorized Contact | JARED A DESPAIN Owner/Partner 509-430-8578 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental |
| Enumeration Date | 2023-12-08 |
| Last Update Date | 2023-12-08 |