| West Tacoma Dental Llc | |
|
2501 N Pearl St Tacoma WA 98406-2540 | |
| (253) 752-6349 | |
| Not Available |
| Full Name | West Tacoma Dental Llc |
|---|---|
| Speciality | Dentist |
| Location | 2501 N Pearl St, Tacoma, Washington |
| Authorized Official Name and Position | Daniel David Crossen (OWNER) |
| Authorized Official Contact | 2537526349 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| West Tacoma Dental Llc 2501 N Pearl St Tacoma WA 98406-2540 Ph: (253) 752-6349 | West Tacoma Dental Llc 2501 N Pearl St Tacoma WA 98406-2540 Ph: (253) 752-6349 |
| NPI Number | 1518237221 |
|---|---|
| Provider Enumeration Date | 01/11/2012 |
| Last Update Date | 01/11/2012 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1518237221 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | DE60235923 (Washington) | Primary |
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