Evergreen Dental Center | |
5225 Tacoma Mall Blvd Suite E-104 Tacoma WA 98409-7018 | |
(253) 474-3223 | |
(253) 473-6762 |
Full Name | Evergreen Dental Center |
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Speciality | Durable Medical Equipment & Medical Supplies - Customized Equipment |
Location | 5225 Tacoma Mall Blvd, Tacoma, Washington |
Authorized Official Name and Position | Steven P Marinkovich (OWNER/DOCTOR) |
Authorized Official Contact | 2534743223 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Evergreen Dental Center 5225 Tacoma Mall Blvd Suite E-104 Tacoma WA 98409-7018 Ph: (253) 474-3223 | Evergreen Dental Center 5225 Tacoma Mall Blvd Suite E-104 Tacoma WA 98409-7018 Ph: (253) 474-3223 |
NPI Number | 1629328638 |
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Provider Enumeration Date | 09/17/2012 |
Last Update Date | 02/14/2014 |
Identifier | Type | State | Issuer |
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1629328638 | NPI | - | NPPES |
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