| Gaurav Dudeja Pllc | |
|
5038 Tacoma Mall Blvd Ste A Tacoma WA 98409-7103 | |
| (210) 861-5541 | |
| Not Available |
| Full Name | Gaurav Dudeja Pllc |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 5038 Tacoma Mall Blvd Ste A, Tacoma, Washington |
| Authorized Official Name and Position | Gaurav Dudeja (MEMBER) |
| Authorized Official Contact | 2108615541 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Gaurav Dudeja Pllc 5038 Tacoma Mall Blvd Ste A Tacoma WA 98409-7103 Ph: (253) 473-2166 | Gaurav Dudeja Pllc 5038 Tacoma Mall Blvd Ste A Tacoma WA 98409-7103 Ph: (210) 861-5541 |
| NPI Number | 1699308619 |
|---|---|
| Provider Enumeration Date | 02/18/2020 |
| Last Update Date | 02/10/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1699308619 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
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