| Michael Mcdade, D.d.s.,p.l.l.c. | |
|
1710 Lafayette St Steilacoom WA 98388-1328 | |
| (253) 582-3106 | |
| Not Available |
| Full Name | Michael Mcdade, D.d.s.,p.l.l.c. |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 1710 Lafayette St, Steilacoom, Washington |
| Authorized Official Name and Position | Michael Edward Mcdade (OWNER/DOCTOR) |
| Authorized Official Contact | 2535823106 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Michael Mcdade, D.d.s.,p.l.l.c. 1710 Lafayette St Steilacoom WA 98388-1328 Ph: (253) 582-3106 | Michael Mcdade, D.d.s.,p.l.l.c. 1710 Lafayette St Steilacoom WA 98388-1328 Ph: (253) 582-3106 |
| NPI Number | 1255695755 |
|---|---|
| Provider Enumeration Date | 06/28/2012 |
| Last Update Date | 06/28/2012 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1255695755 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | 00006051 (Washington) | Primary |
Dr Thomas J Mcavoy Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 1710 Lafayette Street, Steilacoom, WA 98388 Phone: 253-582-3106 |