| Clr Dental Clinic | |
|
737 Fawcett Ave Tacoma WA 98402-5503 | |
| (253) 830-5969 | |
| Not Available |
| Full Name | Clr Dental Clinic |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 737 Fawcett Ave, Tacoma, Washington |
| Authorized Official Name and Position | David Flentge (PRESIDENT/CEO) |
| Authorized Official Contact | 2535974550 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Clr Dental Clinic 1148 Broadway Ste 100 Tacoma WA 98402-3518 Ph: (253) 597-4550 | Clr Dental Clinic 737 Fawcett Ave Tacoma WA 98402-5503 Ph: (253) 830-5969 |
| NPI Number | 1154081966 |
|---|---|
| Provider Enumeration Date | 12/20/2021 |
| Last Update Date | 04/29/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1154081966 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | (* (Not Available)) | Primary |
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