West Tacoma Dental Llc | |
2501 N Pearl St Tacoma WA 98406-2540 | |
(253) 752-6349 | |
Not Available |
Full Name | West Tacoma Dental Llc |
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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 |
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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 |
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Provider Enumeration Date | 01/11/2012 |
Last Update Date | 01/11/2012 |
Identifier | Type | State | Issuer |
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1518237221 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
122300000X | Dentist | DE60235923 (Washington) | Primary |
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