| Tacoma Denture Clinic | |
|
3712 S Cedar St Tacoma WA 98409-5715 | |
| (253) 475-8570 | |
| (253) 475-8577 |
| Full Name | Tacoma Denture Clinic |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 3712 S Cedar St, Tacoma, Washington |
| Authorized Official Name and Position | William J Carlson (OWNER) |
| Authorized Official Contact | 2534758570 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Tacoma Denture Clinic 3712 S Cedar St Tacoma WA 98409-5715 Ph: (253) 475-8570 | Tacoma Denture Clinic 3712 S Cedar St Tacoma WA 98409-5715 Ph: (253) 475-8570 |
| NPI Number | 1841444981 |
|---|---|
| Provider Enumeration Date | 11/14/2008 |
| Last Update Date | 11/14/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1841444981 | NPI | - | NPPES |
| 5781604 | Medicaid | WA | |
| 5012976 | Medicaid | WA | |
| 5042791 | Medicaid | WA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 5397 (Washington) | Primary |
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