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3602 6th Ave Suite 104 Tacoma WA 98406-5450 | |
(310) 820-9933 | |
(310) 820-0408 |
Full Name | |
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Speciality | Dentist |
Location | 3602 6th Ave, Tacoma, Washington |
Authorized Official Name and Position | Farid Pakravan (OWNER) |
Authorized Official Contact | 3108209933 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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3602 6th Ave Suite 104 Tacoma WA 98406-5450 Ph: (310) 820-9933 | 3602 6th Ave Suite 104 Tacoma WA 98406-5450 Ph: (310) 820-9933 |
NPI Number | 1942554688 |
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Provider Enumeration Date | 11/02/2012 |
Last Update Date | 11/02/2012 |
Identifier | Type | State | Issuer |
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1942554688 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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122300000X | Dentist | (California) | 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 | |