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5401 6th Ave Ste 201 Tacoma WA 98406-2618 | |
(253) 537-5437 | |
Not Available |
Full Name | |
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Speciality | Dentist |
Location | 5401 6th Ave Ste 201, Tacoma, Washington |
Authorized Official Name and Position | Daniel Haught (OWNER) |
Authorized Official Contact | 2535375437 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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1148 72nd St E Ste B Tacoma WA 98404-1800 Ph: (253) 537-5437 | 5401 6th Ave Ste 201 Tacoma WA 98406-2618 Ph: (253) 537-5437 |
NPI Number | 1134583917 |
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Provider Enumeration Date | 04/07/2016 |
Last Update Date | 09/12/2016 |
Identifier | Type | State | Issuer |
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1134583917 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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122300000X | Dentist | DE60552444 (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 | |
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