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4707 S Junett St Suite A Tacoma WA 98409-6480 | |
(253) 475-8934 | |
(253) 472-0402 |
Full Name | |
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Speciality | Dentist - General Practice |
Location | 4707 S Junett St, Tacoma, Washington |
Authorized Official Name and Position | Adrianne B. Bird (ADMINISTRATIVE ASSISTANT) |
Authorized Official Contact | 2534758934 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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4707 S Junett St Suite A Tacoma WA 98409-6480 Ph: (253) 475-8934 | 4707 S Junett St Suite A Tacoma WA 98409-6480 Ph: (253) 475-8934 |
NPI Number | 1902134307 |
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Provider Enumeration Date | 11/23/2009 |
Last Update Date | 11/23/2009 |
Identifier | Type | State | Issuer |
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1902134307 | NPI | - | NPPES |
5399902 | Medicaid | WA |
Taxonomy | Type | License (State) | Status |
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1223G0001X | Dentist - General Practice | (* (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 | |
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 | |