| Lilly Road Family Dentistry | |
|
220 Lilly Rd Ne Ste B Olympia WA 98506-6101 | |
| (360) 459-9694 | |
| Not Available |
| Full Name | Lilly Road Family Dentistry |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 220 Lilly Rd Ne Ste B, Olympia, Washington |
| Authorized Official Name and Position | Richard C Downing (DENTIST/OWNER) |
| Authorized Official Contact | 3602591984 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Lilly Road Family Dentistry 220 Lilly Rd Ne Ste B Olympia WA 98506-6101 Ph: (360) 459-9694 | Lilly Road Family Dentistry 220 Lilly Rd Ne Ste B Olympia WA 98506-6101 Ph: (360) 459-9694 |
| NPI Number | 1205193786 |
|---|---|
| Provider Enumeration Date | 04/20/2012 |
| Last Update Date | 04/20/2012 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1205193786 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | DE00009067 (Washington) | Primary |
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