| Dentistry Nw | |
|
1628 S Mildred St Suite 206 Tacoma WA 98465-1627 | |
| (253) 460-1800 | |
| (253) 460-0697 |
| Full Name | Dentistry Nw |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 1628 S Mildred St, Tacoma, Washington |
| Authorized Official Name and Position | Randolph J Nartea (PARTNER) |
| Authorized Official Contact | 2534601800 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Dentistry Nw 1628 S Mildred St Suite 206 Tacoma WA 98465-1627 Ph: (253) 460-1800 | Dentistry Nw 1628 S Mildred St Suite 206 Tacoma WA 98465-1627 Ph: (253) 460-1800 |
| NPI Number | 1053437616 |
|---|---|
| Provider Enumeration Date | 03/22/2007 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1053437616 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 6185, 7608 (Washington) | Primary |
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