| Olympic Dental & Denture Center,llc | |
|
3720 6th Ave Ste A Tacoma WA 98406-4938 | |
| (253) 752-1320 | |
| (253) 752-1425 |
| Full Name | Olympic Dental & Denture Center,llc |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 3720 6th Ave Ste A, Tacoma, Washington |
| Authorized Official Name and Position | Richard C Johnson (OWNER) |
| Authorized Official Contact | 2537521320 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Olympic Dental & Denture Center,llc 3720 6th Ave Ste A Tacoma WA 98406-4938 Ph: (253) 752-1320 | Olympic Dental & Denture Center,llc 3720 6th Ave Ste A Tacoma WA 98406-4938 Ph: (253) 752-1320 |
| NPI Number | 1750409827 |
|---|---|
| Provider Enumeration Date | 03/27/2007 |
| Last Update Date | 02/11/2010 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1750409827 | NPI | - | NPPES |
| 2050411 | Other | WA | UNITED CONCORDIA |
| 5056817 | Medicaid | WA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | (* (Not Available)) | 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 | |
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 | |