Stadium Dental | |
2 N Tacoma Ave Tacoma WA 98403-3125 | |
(253) 383-4901 | |
Not Available |
Full Name | Stadium Dental |
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Speciality | Clinic/center - Dental |
Location | 2 N Tacoma Ave, Tacoma, Washington |
Authorized Official Name and Position | Angela Samuel (OFFICE MANAGER) |
Authorized Official Contact | 2533834901 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Stadium Dental 2 N Tacoma Ave Tacoma WA 98403-3125 Ph: (253) 383-4901 | Stadium Dental 2 N Tacoma Ave Tacoma WA 98403-3125 Ph: (253) 383-4901 |
NPI Number | 1245910074 |
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Provider Enumeration Date | 07/18/2023 |
Last Update Date | 07/18/2023 |
Identifier | Type | State | Issuer |
---|---|---|---|
1245910074 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QD0000X | Clinic/center - Dental | (* (Not Available)) | Primary |
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