Amanda Luck, Dmd, Pllc | |
1808 State Ave Ne Olympia WA 98506-4650 | |
(360) 459-2677 | |
Not Available |
Full Name | Amanda Luck, Dmd, Pllc |
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Speciality | Clinic/Center |
Location | 1808 State Ave Ne, Olympia, Washington |
Authorized Official Name and Position | Amanda Luck (OWNER) |
Authorized Official Contact | 3604592677 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Amanda Luck, Dmd, Pllc 1808 State Ave Ne Olympia WA 98506-4650 Ph: () - | Amanda Luck, Dmd, Pllc 1808 State Ave Ne Olympia WA 98506-4650 Ph: (360) 459-2677 |
NPI Number | 1598485740 |
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Provider Enumeration Date | 08/29/2022 |
Last Update Date | 08/29/2022 |
Medicare PECOS PAC ID | 7113469453 |
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Medicare Enrollment ID | O20240603000838 |
Identifier | Type | State | Issuer |
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1598485740 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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261QD0000X | Clinic/center - Dental | (* (Not Available)) | Primary |
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