| Westgate Dental Corporation | |
|
1919 N Pearl Street Suite B-4 Tacoma WA 98406 | |
| (253) 756-8644 | |
| (253) 756-9096 |
| Full Name | Westgate Dental Corporation |
|---|---|
| Speciality | Dentist |
| Location | 1919 N Pearl Street, Tacoma, Washington |
| Authorized Official Name and Position | Jeffrey A Stewart (PRESIDENT) |
| Authorized Official Contact | 2537568644 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Westgate Dental Corporation 1919 N Pearl Street Suite B-4 Tacoma WA 98406 Ph: (253) 756-8644 | Westgate Dental Corporation 1919 N Pearl Street Suite B-4 Tacoma WA 98406 Ph: (253) 756-8644 |
| NPI Number | 1427284058 |
|---|---|
| Provider Enumeration Date | 06/10/2009 |
| Last Update Date | 06/10/2009 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1427284058 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | DE60041232 (Washington) | Secondary |
| 122300000X | Dentist | DE00006394 (Washington) | Primary |
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