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12165 Pacific Ave Suite A Tacoma WA 98444 | |
(253) 537-4011 | |
(253) 537-2939 |
Full Name | |
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Speciality | Dentist |
Location | 12165 Pacific Ave, Tacoma, Washington |
Authorized Official Name and Position | Darilyn Henry (GENERAL MANAGER) |
Authorized Official Contact | 2535374011 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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12165 Pacific Ave Suite A Tacoma WA 98444 Ph: (253) 537-4011 | 12165 Pacific Ave Suite A Tacoma WA 98444 Ph: (253) 537-4011 |
NPI Number | 1457798092 |
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Provider Enumeration Date | 05/22/2013 |
Last Update Date | 05/22/2013 |
Identifier | Type | State | Issuer |
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1457798092 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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122300000X | Dentist | (* (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 | |