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7808 Pacific Ave Ste 5 Tacoma WA 98408-7039 | |
(253) 474-9509 | |
Not Available |
Full Name | |
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Speciality | Clinic/center - Dental |
Location | 7808 Pacific Ave Ste 5, Tacoma, Washington |
Authorized Official Name and Position | Arnell Prato (OWNER) |
Authorized Official Contact | 2534749509 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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4125 49th Ave Ne Ste D Tacoma WA 98422-2423 Ph: (253) 952-2200 | 7808 Pacific Ave Ste 5 Tacoma WA 98408-7039 Ph: (253) 474-9509 |
NPI Number | 1477058089 |
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Provider Enumeration Date | 03/26/2018 |
Last Update Date | 01/26/2021 |
Identifier | Type | State | Issuer |
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1477058089 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
122300000X | Dentist | DE60144550 (Washington) | Secondary |
261QD0000X | Clinic/center - Dental | (* (Not Available)) | 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 | |
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 | |