| George C. Brain Dds Pc | |
|
1901 S Union Ave Suite B-3008 Tacoma WA 98405-1702 | |
| (253) 572-9777 | |
| (253) 627-6766 |
| Full Name | George C. Brain Dds Pc |
|---|---|
| Speciality | Dentist - Pediatric Dentistry |
| Location | 1901 S Union Ave, Tacoma, Washington |
| Authorized Official Name and Position | Lorie Anne Ramsdell (OFFICE MANAGER) |
| Authorized Official Contact | 2535729777 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| George C. Brain Dds Pc 1901 S Union Ave Suite B-3008 Tacoma WA 98405-1702 Ph: (253) 572-9777 | George C. Brain Dds Pc 1901 S Union Ave Suite B-3008 Tacoma WA 98405-1702 Ph: (253) 572-9777 |
| NPI Number | 1174617781 |
|---|---|
| Provider Enumeration Date | 10/03/2006 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1174617781 | NPI | - | NPPES |
| 5031455 | Medicaid | WA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223P0221X | Dentist - Pediatric Dentistry | DE00003551 (Washington) | Primary |
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