| Russell S Valentine Dds Ps Inc | |
|
220 S 38th St Tacoma WA 98418-7807 | |
| (253) 475-4631 | |
| Not Available |
| Full Name | Russell S Valentine Dds Ps Inc |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 220 S 38th St, Tacoma, Washington |
| Authorized Official Name and Position | Russell S Valentine (PRESIDENT) |
| Authorized Official Contact | 2534754631 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Russell S Valentine Dds Ps Inc 220 S 38th St Tacoma WA 98418-7807 Ph: (253) 475-4631 | Russell S Valentine Dds Ps Inc 220 S 38th St Tacoma WA 98418-7807 Ph: (253) 475-4631 |
| NPI Number | 1477798544 |
|---|---|
| Provider Enumeration Date | 12/03/2008 |
| Last Update Date | 12/03/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1477798544 | NPI | - | NPPES |
| 846654 | Other | WA | UNITED CONCORDIA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | 7290 (Washington) | Primary |
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