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1919 N Pearl Street Suite B-4 Tacoma WA 98406 | |
(253) 756-8644 | |
(253) 756-9096 |
Full Name | |
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Speciality | Dentist |
Location | 1919 N Pearl Street, Tacoma, Washington |
Authorized Official Name and Position | Jeffrey A Stewart (PRESIDENT) |
Authorized Official Contact | 2537568644 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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1919 N Pearl Street Suite B-4 Tacoma WA 98406 Ph: (253) 756-8644 | 1919 N Pearl Street Suite B-4 Tacoma WA 98406 Ph: (253) 756-8644 |
NPI Number | 1427284058 |
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Provider Enumeration Date | 06/10/2009 |
Last Update Date | 06/10/2009 |
Identifier | Type | State | Issuer |
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1427284058 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
122300000X | Dentist | DE00006394 (Washington) | Primary |
122300000X | Dentist | DE60041232 (Washington) | Secondary |
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 | |