| Lindquist Dental Clinic For Children | |
|
130 131st St S Tacoma WA 98444-4804 | |
| (253) 539-7445 | |
| (253) 539-7538 |
| Full Name | Lindquist Dental Clinic For Children |
|---|---|
| Speciality | Dentist - Pediatric Dentistry |
| Location | 130 131st St S, Tacoma, Washington |
| Authorized Official Name and Position | Sherwin R. Shinn (DENTAL DIRECTOR) |
| Authorized Official Contact | 2535397445 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Lindquist Dental Clinic For Children 130 131st St S Tacoma WA 98444-4804 Ph: (253) 539-7445 | Lindquist Dental Clinic For Children 130 131st St S Tacoma WA 98444-4804 Ph: (253) 539-7445 |
| NPI Number | 1265573448 |
|---|---|
| Provider Enumeration Date | 02/09/2007 |
| Last Update Date | 06/18/2009 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1265573448 | NPI | - | NPPES |
| 5700109 | Medicaid | WA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223P0221X | Dentist - Pediatric Dentistry | DE00004723 (Washington) | Primary |
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