| Kid's Dental | |
|
5401 6th Ave Ste 201 Tacoma WA 98406-2618 | |
| (253) 537-5437 | |
| Not Available |
| Full Name | Kid's Dental |
|---|---|
| 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 |
|---|---|
| Kid's Dental 1148 72nd St E Ste B Tacoma WA 98404-1800 Ph: (253) 537-5437 | Kid's Dental 5401 6th Ave Ste 201 Tacoma WA 98406-2618 Ph: (253) 537-5437 |
| NPI Number | 1134583917 |
|---|---|
| Provider Enumeration Date | 04/07/2016 |
| Last Update Date | 09/12/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1134583917 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | DE60552444 (Washington) | Primary |
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