| Edc | |
|
3415 Auburn Way S Ste #1 Auburn WA 98002 | |
| (253) 272-6242 | |
| (253) 272-6242 |
| Full Name | Edc |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 3415 Auburn Way S, Auburn, Washington |
| Authorized Official Name and Position | Audrey T Nguyen (VP) |
| Authorized Official Contact | 2532726242 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Edc 5717 Pinnacle Ct Ne Tacoma WA 98422 Ph: (253) 272-6242 | Edc 3415 Auburn Way S Ste #1 Auburn WA 98002 Ph: (253) 272-6242 |
| NPI Number | 1114238524 |
|---|---|
| Provider Enumeration Date | 06/30/2010 |
| Last Update Date | 06/30/2010 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1114238524 | NPI | - | NPPES |
| TBA | Medicaid | WA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | () | Primary |
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