| Advantage Dental Center | |
|
344 Cleveland Ave Se Suite H Tumwater WA 98501-3342 | |
| (360) 438-0711 | |
| (360) 438-9444 |
| Full Name | Advantage Dental Center |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 344 Cleveland Ave Se, Tumwater, Washington |
| Authorized Official Name and Position | Rick A Jude (OWNER/PRESIDENT) |
| Authorized Official Contact | 3604380711 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Advantage Dental Center 344 Cleveland Ave Se Suite H Tumwater WA 98501-3342 Ph: (360) 438-0711 | Advantage Dental Center 344 Cleveland Ave Se Suite H Tumwater WA 98501-3342 Ph: (360) 438-0711 |
| NPI Number | 1912223777 |
|---|---|
| Provider Enumeration Date | 04/19/2010 |
| Last Update Date | 04/19/2010 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1912223777 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | 602955081 (Washington) | Primary |
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