Edc | |
3415 Auburn Way S Ste #1 Auburn WA 98002 | |
(253) 272-6242 | |
(253) 272-6242 |
Full Name | Edc |
---|---|
Speciality | Dentist - General Practice |
Location | 3415 Auburn Way S, Auburn, Washington |
Authorized Official Name and Position | Audrey T Nguyen (VP) |
Authorized Official Contact | 2532726242 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Edc 5717 Pinnacle Ct Ne Tacoma WA 98422 Ph: (253) 272-6242 | Edc 3415 Auburn Way S Ste #1 Auburn WA 98002 Ph: (253) 272-6242 |
NPI Number | 1114238524 |
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Provider Enumeration Date | 06/30/2010 |
Last Update Date | 06/30/2010 |
Identifier | Type | State | Issuer |
---|---|---|---|
1114238524 | NPI | - | NPPES |
TBA | Medicaid | WA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
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