| Defiance Dental Studio | |
|
2716 N 31st St Tacoma WA 98407-6405 | |
| (530) 218-6299 | |
| Not Available |
| Full Name | Defiance Dental Studio |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 2716 N 31st St, Tacoma, Washington |
| Authorized Official Name and Position | Ajaipal Singh Sekhon (MANAGER) |
| Authorized Official Contact | 5302186299 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Defiance Dental Studio 5101 N Pearl St Suite B Ruston WA 98407-3212 Ph: (253) 302-3980 | Defiance Dental Studio 2716 N 31st St Tacoma WA 98407-6405 Ph: (530) 218-6299 |
| NPI Number | 1528503141 |
|---|---|
| Provider Enumeration Date | 01/05/2017 |
| Last Update Date | 01/05/2017 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1528503141 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | DE60389335 (Washington) | Primary |
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