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1628 S Mildred St Ste 201 Tacoma WA 98465-1629 | |
(253) 503-1023 | |
(253) 448-2995 |
Full Name | |
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Speciality | Dentist - Orthodontics And Dentofacial Orthopedics |
Location | 1628 S Mildred St Ste 201, Tacoma, Washington |
Authorized Official Name and Position | Thomas Frederick Gessel (OWNER) |
Authorized Official Contact | 2535031023 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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1628 S Mildred St Ste 201 Tacoma WA 98465-1629 Ph: (253) 503-1023 | 1628 S Mildred St Ste 201 Tacoma WA 98465-1629 Ph: (253) 503-1023 |
NPI Number | 1104248293 |
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Provider Enumeration Date | 01/09/2014 |
Last Update Date | 01/09/2014 |
Identifier | Type | State | Issuer |
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1104248293 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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1223X0400X | Dentist - Orthodontics And Dentofacial Orthopedics | DE 60175336 (Washington) | 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 | |