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2520 S 38th St Ste A Tacoma WA 98409 | |
(253) 343-9133 | |
(253) 343-9135 |
Full Name | |
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Speciality | Dentist - Orthodontics And Dentofacial Orthopedics |
Location | 2520 S 38th St, Tacoma, Washington |
Authorized Official Name and Position | Hector Martin Bush (OWNER) |
Authorized Official Contact | 6784328508 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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2520 S 38th St Ste A Tacoma WA 98409 Ph: (253) 343-9133 | 2520 S 38th St Ste A Tacoma WA 98409 Ph: (253) 343-9133 |
NPI Number | 1679626345 |
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Provider Enumeration Date | 01/18/2007 |
Last Update Date | 01/14/2020 |
Identifier | Type | State | Issuer |
---|---|---|---|
1679626345 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1223X0400X | Dentist - Orthodontics And Dentofacial Orthopedics | DN011309 (Georgia) | 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 | |