Bansuk Ju Dds Pllc | |
2302 S Union Ave Ste A6 Tacoma WA 98405-1332 | |
(253) 752-4422 | |
Not Available |
Full Name | Bansuk Ju Dds Pllc |
---|---|
Speciality | Clinic/center - Dental |
Location | 2302 S Union Ave Ste A6, Tacoma, Washington |
Authorized Official Name and Position | Bansuk Ju (OWNER) |
Authorized Official Contact | 2133091305 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Bansuk Ju Dds Pllc 1635 Sw 330th Pl Federal Way WA 98023-6432 Ph: (213) 309-1305 | Bansuk Ju Dds Pllc 2302 S Union Ave Ste A6 Tacoma WA 98405-1332 Ph: (253) 752-4422 |
NPI Number | 1023604261 |
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Provider Enumeration Date | 12/11/2020 |
Last Update Date | 12/11/2020 |
Identifier | Type | State | Issuer |
---|---|---|---|
1023604261 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QD0000X | Clinic/center - Dental | (* (Not Available)) | 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 | |