| Health Centered Family Dentistry | |
|
7810 West 27th St University Place WA 98466-4111 | |
| (253) 564-2722 | |
| (253) 564-0321 |
| Full Name | Health Centered Family Dentistry |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 7810 West 27th St, University Place, Washington |
| Authorized Official Name and Position | George Juris Grobins (PRESIDENT OWNER) |
| Authorized Official Contact | 2535642722 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Health Centered Family Dentistry 7810 West 27th St University Place WA 98466-4111 Ph: (253) 564-2722 | Health Centered Family Dentistry 7810 West 27th St University Place WA 98466-4111 Ph: (253) 564-2722 |
| NPI Number | 1568595312 |
|---|---|
| Provider Enumeration Date | 03/13/2007 |
| Last Update Date | 03/07/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1568595312 | NPI | - | NPPES |
| 0085205 | Other | WA | DEPT OF LABORER&INDUST |
| L0791 | Other | CITY BUSINESS LICENSE | |
| 587870 | Other | PA | UNITED CONCORDIA INS CO |
| 600363819 | Other | DEPT OF REVENUE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 003810 (Washington) | Primary |
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