| NPI | 1912167248 |
|---|---|
| Doing Business As | OLYMPIA ADVANCED DENTISTRY |
| Entity Type | Organization |
| Authorized Contact | DAWN QUESADA Office Manager/Administrator 360-357-8075 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: WA DE00006116) |
| Enumeration Date | 2008-06-10 |
| Last Update Date | 2023-07-31 |