| NPI | 1558689711 |
|---|---|
| Other Name | OLYCAP ORAL HEALTH CENTER |
| Entity Type | Organization |
| Authorized Contact | SHEILA R RAND Oly Cap Medicaid Billing Specialist 360-452-4726 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251B00000X Case Management |
| Additional Taxonomies | 251V00000X Voluntary or Charitable (Licence: WA 600-443-619) |
| Enumeration Date | 2010-05-12 |
| Last Update Date | 2023-01-18 |