| |
3820 Pacific Ave Suite 101 Tacoma WA 98418-7825 | |
(253) 472-3006 | |
(253) 472-3011 |
Full Name | |
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Speciality | Dentist |
Location | 3820 Pacific Ave, Tacoma, Washington |
Authorized Official Name and Position | Scott Probst (DENTIST) |
Authorized Official Contact | 2534723006 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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3820 Pacific Ave Suite 101 Tacoma WA 98418-7825 Ph: (253) 472-3006 | 3820 Pacific Ave Suite 101 Tacoma WA 98418-7825 Ph: (253) 472-3006 |
NPI Number | 1326334178 |
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Provider Enumeration Date | 06/21/2011 |
Last Update Date | 06/21/2011 |
Identifier | Type | State | Issuer |
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1326334178 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
122300000X | Dentist | DE 60178653 (Washington) | 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 | |
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