| David R Hannula Dds Ps | |
|
4146 6th Ave Tacoma WA 98406-4013 | |
| (253) 759-5622 | |
| (253) 761-8441 |
| Full Name | David R Hannula Dds Ps |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 4146 6th Ave, Tacoma, Washington |
| Authorized Official Name and Position | David Hannula (PRESIDENT) |
| Authorized Official Contact | 2537595622 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| David R Hannula Dds Ps 4146 6th Ave Tacoma WA 98406-4013 Ph: (253) 759-5622 | David R Hannula Dds Ps 4146 6th Ave Tacoma WA 98406-4013 Ph: (253) 759-5622 |
| NPI Number | 1417506049 |
|---|---|
| Provider Enumeration Date | 09/06/2019 |
| Last Update Date | 09/06/2019 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1417506049 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | (* (Not Available)) | Primary |
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