| Renaissance Dental Arts | |
|
2302 S Union Ave Ste A6 Tacoma WA 98405-1332 | |
| (253) 752-4422 | |
| (253) 759-5724 |
| Full Name | Renaissance Dental Arts |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 2302 S Union Ave Ste A6, Tacoma, Washington |
| Authorized Official Name and Position | Alan F Altman (PRESIDENT/DENTIST) |
| Authorized Official Contact | 2537524422 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Renaissance Dental Arts 2302 S Union Ave Ste A6 Tacoma WA 98405-1332 Ph: (253) 752-4422 | Renaissance Dental Arts 2302 S Union Ave Ste A6 Tacoma WA 98405-1332 Ph: (253) 752-4422 |
| NPI Number | 1528212354 |
|---|---|
| Provider Enumeration Date | 11/06/2008 |
| Last Update Date | 01/23/2009 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1528212354 | NPI | - | NPPES |
| 5688 | Other | WA | WASHINGTON STATE DENTAL LICENSE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | 5688 (Washington) | Primary |
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