Full Name | |
---|---|
Speciality | Dentist |
Location | 2729 N Pearl St, Tacoma, Washington |
Authorized Official Name and Position | Jessica Ahn (OWNER) |
Authorized Official Contact | 2539995503 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Po Box 920050 Dallas TX 75392-5626 Ph: (714) 845-8890 | 2729 N Pearl St Tacoma WA 98407 Ph: (253) 999-5503 |
NPI Number | 1255894176 |
---|---|
Provider Enumeration Date | 04/08/2019 |
Last Update Date | 12/26/2023 |
Identifier | Type | State | Issuer |
---|---|---|---|
1255894176 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
122300000X | Dentist | (* (Not Available)) | 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 | |