Gaurav Dudeja Pllc | |
5038 Tacoma Mall Blvd Ste A Tacoma WA 98409-7103 | |
(210) 861-5541 | |
Not Available |
Full Name | Gaurav Dudeja Pllc |
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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 |
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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 |
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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 |
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 | |