| |
2302 S Union Ave Ste B-14 Tacoma WA 98405-1300 | |
(253) 752-3949 | |
(253) 752-6392 |
Full Name | |
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Speciality | Dentist - Orthodontics And Dentofacial Orthopedics |
Location | 2302 S Union Ave, Tacoma, Washington |
Authorized Official Name and Position | Chad Smart (OWNER) |
Authorized Official Contact | 2537523949 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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2302 S Union Ave Ste B-14 Tacoma WA 98405-1300 Ph: (253) 752-3949 | 2302 S Union Ave Ste B-14 Tacoma WA 98405-1300 Ph: (253) 752-3949 |
NPI Number | 1134597446 |
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Provider Enumeration Date | 09/03/2015 |
Last Update Date | 09/03/2015 |
Identifier | Type | State | Issuer |
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1134597446 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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1223X0400X | Dentist - Orthodontics And Dentofacial Orthopedics | DE00009092 (Washington) | 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 | |