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4545 S Union Ave Tacoma WA 98409-4532 | |
(253) 475-7500 | |
(253) 475-9115 |
Full Name | |
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Speciality | Dentist |
Location | 4545 S Union Ave, Tacoma, Washington |
Authorized Official Name and Position | Ashifa Nurani (PRESIDENT) |
Authorized Official Contact | 7145786358 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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4545 S Union Ave Tacoma WA 98409-4532 Ph: (253) 475-7500 | 4545 S Union Ave Tacoma WA 98409-4532 Ph: (253) 475-7500 |
NPI Number | 1700221462 |
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Provider Enumeration Date | 05/07/2013 |
Last Update Date | 12/07/2015 |
Identifier | Type | State | Issuer |
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1700221462 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
122300000X | Dentist | DE00008078 (Washington) | Primary |
1223D0001X | Dentist - Dental Public Health | (* (Not Available)) | Secondary |
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 | |