| |
113 132nd St S Tacoma WA 98444-4807 | |
(253) 537-9317 | |
(253) 537-1371 |
Full Name | |
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Speciality | Dentist |
Location | 113 132nd St S, Tacoma, Washington |
Authorized Official Name and Position | John Michael Davis (DENTIST) |
Authorized Official Contact | 2535379317 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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113 132nd St S Tacoma WA 98444-4807 Ph: (253) 537-9317 | 113 132nd St S Tacoma WA 98444-4807 Ph: (253) 537-9317 |
NPI Number | 1861647604 |
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Provider Enumeration Date | 11/20/2008 |
Last Update Date | 06/07/2024 |
Identifier | Type | State | Issuer |
---|---|---|---|
1861647604 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
122300000X | Dentist | 9916 (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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