| Nurani, Mitchell, Kim, Pc | |
|
4545 S Union Ave Tacoma WA 98409-4532 | |
| (253) 475-7500 | |
| (253) 475-9115 |
| Full Name | Nurani, Mitchell, Kim, Pc |
|---|---|
| Speciality | Dentist |
| Location | 4545 S Union Ave, Tacoma, Washington |
| Authorized Official Name and Position | Ashifa Nurani (PRESIDENT) |
| Authorized Official Contact | 7145786358 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Nurani, Mitchell, Kim, Pc 4545 S Union Ave Tacoma WA 98409-4532 Ph: (253) 475-7500 | Nurani, Mitchell, Kim, Pc 4545 S Union Ave Tacoma WA 98409-4532 Ph: (253) 475-7500 |
| NPI Number | 1700221462 |
|---|---|
| Provider Enumeration Date | 05/07/2013 |
| Last Update Date | 12/07/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1700221462 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223D0001X | Dentist - Dental Public Health | (* (Not Available)) | Secondary |
| 122300000X | Dentist | DE00008078 (Washington) | Primary |
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