| Kevin Xu D.d.s., M.s.,p.s., Inc. | |
|
5038 Tacoma Mall Blvd Ste. A Tacoma WA 98409-7103 | |
| (253) 473-2166 | |
| (253) 473-2167 |
| Full Name | Kevin Xu D.d.s., M.s.,p.s., Inc. |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 5038 Tacoma Mall Blvd, Tacoma, Washington |
| Authorized Official Name and Position | Kevin Xu (DENTIST/OWNER) |
| Authorized Official Contact | 2534732166 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Kevin Xu D.d.s., M.s.,p.s., Inc. 5038 Tacoma Mall Blvd Ste. A Tacoma WA 98409-7103 Ph: (253) 473-2166 | Kevin Xu D.d.s., M.s.,p.s., Inc. 5038 Tacoma Mall Blvd Ste. A Tacoma WA 98409-7103 Ph: (253) 473-2166 |
| NPI Number | 1578823852 |
|---|---|
| Provider Enumeration Date | 05/21/2012 |
| Last Update Date | 05/21/2012 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1578823852 | NPI | - | NPPES |
| 1821074527 | Other | WA | INDIVIDUAL |
| 1710957329 | Other | WA | INDIVIDUAL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 6938 (Washington) | Primary |
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