| |
2614 N. Adams St. Tacoma WA 98407-5826 | |
(253) 759-6800 | |
(253) 759-0894 |
Full Name | |
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Speciality | Dentist |
Location | 2614 N. Adams St., Tacoma, Washington |
Authorized Official Name and Position | Jennifer Lea Bush (OFFICE MANAGER) |
Authorized Official Contact | 2537596800 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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P.o. Box 7065 Tacoma WA 98417-0065 Ph: (253) 759-6800 | 2614 N. Adams St. Tacoma WA 98407-5826 Ph: (253) 759-6800 |
NPI Number | 1366888992 |
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Provider Enumeration Date | 05/22/2013 |
Last Update Date | 10/18/2023 |
Identifier | Type | State | Issuer |
---|---|---|---|
1366888992 | 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 | |