| Charles Croasdill Dmd Pllc | |
|
2520 N Alder St Tacoma WA 98406-6632 | |
| (253) 759-5414 | |
| Not Available |
| Full Name | Charles Croasdill Dmd Pllc |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 2520 N Alder St, Tacoma, Washington |
| Authorized Official Name and Position | Charles Croasdill Watson Croasdill (OWNER) |
| Authorized Official Contact | 2537595414 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Charles Croasdill Dmd Pllc 2520 N Alder St Tacoma WA 98406-6632 Ph: (253) 759-5414 | Charles Croasdill Dmd Pllc 2520 N Alder St Tacoma WA 98406-6632 Ph: (253) 759-5414 |
| NPI Number | 1104067198 |
|---|---|
| Provider Enumeration Date | 03/20/2009 |
| Last Update Date | 03/20/2009 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1104067198 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | 5005 (Washington) | Primary |
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