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5319 Tacoma Mall Blvd Tacoma WA 98409-7072 | |
(253) 476-1030 | |
(253) 476-1031 |
Full Name | |
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Speciality | Dentist |
Location | 5319 Tacoma Mall Blvd, Tacoma, Washington |
Authorized Official Name and Position | Alan F Macks (OWNER) |
Authorized Official Contact | 2534761030 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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5319 Tacoma Mall Blvd Tacoma WA 98409-7072 Ph: (253) 476-1030 | 5319 Tacoma Mall Blvd Tacoma WA 98409-7072 Ph: (253) 476-1030 |
NPI Number | 1396281309 |
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Provider Enumeration Date | 01/13/2017 |
Last Update Date | 08/08/2017 |
Identifier | Type | State | Issuer |
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1396281309 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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122300000X | Dentist | 5728 (Washington) | Primary |
Olympic Dental & Denture Center, Llc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 3720 6th Ave, Suite A, Tacoma, WA 98406 Phone: 253-752-1320 Fax: 253-752-1425 | |
Bansuk Ju Dds Pllc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 2302 S Union Ave Ste A6, Tacoma, WA 98405 Phone: 253-752-4422 | |