Joseph L. Dolezal OD

NPI 1629117023 - Optometrist - 152W00000X

NPI Details
NPI 1629117023
Gender Male
Enumeration Date 02/05/2007
Last Updated 10/24/2012
Entity Type Individual
Active Over 9 years ago
Practice Location
1125 MELLEN ST
CENTRALIA WA, 98531-1173, US
Phone (360) 736-7385
Fax (360) 736-8568
Business Location
1125 MELLEN ST
CENTRALIA WA, 98531-1173, US
Phone (360) 736-7385
Fax (360) 736-8568
Toxanomy
Taxonomy Code 152W00000X
License State Washington
License Number 1421
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According to our database, Dr. Joseph L. Dolezal OD NPI is 1629117023, taxonomy code is 152W00000X and license number is 1421, license state is located at Washington. Joseph L. Dolezal OD physically located at 1125 Mellen St, Centralia WA, 98531-1173. NPI Number Joseph L. Dolezal OD has the Individual type.

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1629117023 NPI number is provided on an as is basis without warranty of any kind. 1629117023 is maintained by the National Plan & Provider Enumeration System. The contents of Joseph L. Dolezal OD are for informational purposes only.