Charles Croasdill Dmd Pllc | |
2520 N Alder St Tacoma WA 98406-6632 | |
(253) 759-5414 | |
Not Available |
Full Name | Charles Croasdill Dmd Pllc |
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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 |
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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 |
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Provider Enumeration Date | 03/20/2009 |
Last Update Date | 03/20/2009 |
Identifier | Type | State | Issuer |
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1104067198 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QD0000X | Clinic/center - Dental | 5005 (Washington) | Primary |
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