NPI 1093907222

James M Elvin, LICENSEDDENTURIST

Practitioner Denturist Olympia, WA

Practice location

Address: 1401 4th Ave E, Olympia, WA 98506-4484
Phone: (360) 456-6040
Mailing address: PO Box 3221, Lacey, WA 98509-3221

Registered specialties

Denturist Primary

Dental Providers Taxonomy 122400000X Licence DN00000292 (WA)

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Registry record

NPI: 1093907222
Entity type: Individual
Sex (as registered): Male
NPI issued: 12 Aug 2007
Record last updated: 12 Aug 2007

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.