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3402 S 38th St Tacoma WA 98409-4638 | |
(253) 472-4292 | |
(253) 474-7708 |
Full Name | |
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Speciality | Dentist |
Location | 3402 S 38th St, Tacoma, Washington |
Authorized Official Name and Position | David Clark (DENTIST/OWNER) |
Authorized Official Contact | 2534744292 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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3402 S 38th St Tacoma WA 98409-4638 Ph: (253) 472-4292 | 3402 S 38th St Tacoma WA 98409-4638 Ph: (253) 472-4292 |
NPI Number | 1205259694 |
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Provider Enumeration Date | 01/21/2014 |
Last Update Date | 01/21/2014 |
Identifier | Type | State | Issuer |
---|---|---|---|
1205259694 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
122300000X | Dentist | DE00006114 (Washington) | Primary |
122300000X | Dentist | DE00008552 (Washington) | 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 | |