| Sea Mar Community Health Centers Tacoma Dental | |
|
3712 S Cedar St Tacoma WA 98409-5715 | |
| (206) 764-3335 | |
| Not Available |
| Full Name | Sea Mar Community Health Centers Tacoma Dental |
|---|---|
| Speciality | Clinic/center - Federally Qualified Health Center (fqhc) |
| Location | 3712 S Cedar St, Tacoma, Washington |
| Authorized Official Name and Position | Mary Bartolo (DEPUTY DIRECTOR) |
| Authorized Official Contact | 2067643335 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Sea Mar Community Health Centers Tacoma Dental Po Box 34703 Seattle WA 98124-1703 Ph: (206) 764-3335 | Sea Mar Community Health Centers Tacoma Dental 3712 S Cedar St Tacoma WA 98409-5715 Ph: (206) 764-3335 |
| NPI Number | 1588107130 |
|---|---|
| Provider Enumeration Date | 11/30/2016 |
| Last Update Date | 11/30/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1588107130 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | (* (Not Available)) | Secondary |
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Primary |
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