| Luck Dental Center | |
|
1808 State Ave Ne Olympia WA 98506-4650 | |
| (360) 459-2677 | |
| Not Available |
| Full Name | Luck Dental Center |
|---|---|
| Speciality | Clinic/Center |
| Location | 1808 State Ave Ne, Olympia, Washington |
| Authorized Official Name and Position | Amanda Luck (OWNER) |
| Authorized Official Contact | 3604592677 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Luck Dental Center 1808 State Ave Ne Olympia WA 98506-4650 | Luck Dental Center 1808 State Ave Ne Olympia WA 98506-4650 Ph: (360) 459-2677 |
| NPI Number | 1598485740 |
|---|---|
| Provider Enumeration Date | 08/29/2022 |
| Last Update Date | 08/29/2022 |
| Certification Date | 08/29/2022 |
| Medicare PECOS PAC ID | 7113469453 |
|---|---|
| Medicare Enrollment ID | O20240603000838 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1598485740 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | () | Primary |
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