| Geriatric Dental Group Of Wa State | |
|
728 S 320th St Suite A Federal Way WA 98003-5255 | |
| (253) 839-1300 | |
| Not Available |
| Full Name | Geriatric Dental Group Of Wa State |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 728 S 320th St, Federal Way, Washington |
| Authorized Official Name and Position | Amy T Linder (DIRECTOR) |
| Authorized Official Contact | 2538391300 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Geriatric Dental Group Of Wa State 728 S 320th St Suite A Federal Way WA 98003-5255 Ph: (253) 839-1300 | Geriatric Dental Group Of Wa State 728 S 320th St Suite A Federal Way WA 98003-5255 Ph: (253) 839-1300 |
| NPI Number | 1568647683 |
|---|---|
| Provider Enumeration Date | 01/08/2008 |
| Last Update Date | 07/30/2012 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1568647683 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 602676351 (Washington) | Primary |
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