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2115 South 56th Street Suite 202 Tacoma WA 98409 | |
(253) 473-4303 | |
(253) 473-0201 |
Full Name | |
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Speciality | Dentist |
Location | 2115 South 56th Street, Tacoma, Washington |
Authorized Official Name and Position | Kuzi S Hsue (PRES) |
Authorized Official Contact | 2534734303 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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2115 South 56th Street Suite 202 Tacoma WA 98409 Ph: (253) 473-4303 | 2115 South 56th Street Suite 202 Tacoma WA 98409 Ph: (253) 473-4303 |
NPI Number | 1821164682 |
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Provider Enumeration Date | 11/25/2006 |
Last Update Date | 08/22/2020 |
Identifier | Type | State | Issuer |
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1821164682 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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122300000X | Dentist | 6736 (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 | |
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