Olympic Dental & Denture Center, Llc | |
3720 6th Ave Suite A Tacoma WA 98406-4938 | |
(253) 752-1320 | |
(253) 752-1425 |
Full Name | Olympic Dental & Denture Center, Llc |
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Speciality | Clinic/center - Dental |
Location | 3720 6th Ave, Tacoma, Washington |
Authorized Official Name and Position | Richard C Johnson (CEO) |
Authorized Official Contact | 2537521320 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Olympic Dental & Denture Center, Llc 3720 6th Ave Suite A Tacoma WA 98406-4938 Ph: (253) 752-1320 | Olympic Dental & Denture Center, Llc 3720 6th Ave Suite A Tacoma WA 98406-4938 Ph: (253) 752-1320 |
NPI Number | 1003148719 |
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Provider Enumeration Date | 02/04/2010 |
Last Update Date | 02/04/2010 |
Identifier | Type | State | Issuer |
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1003148719 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QD0000X | Clinic/center - Dental | 416 (Washington) | Primary |
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