Full Name | |
---|---|
Speciality | Dentist - General Practice |
Location | 2617 6th Ave, Tacoma, Washington |
Authorized Official Name and Position | Richard Guzha (OWNER) |
Authorized Official Contact | 2536273100 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
2617 6th Ave Tacoma WA 98406-7204 Ph: (253) 627-3100 | 2617 6th Ave Tacoma WA 98406-7204 Ph: (253) 627-3100 |
NPI Number | 1265778484 |
---|---|
Provider Enumeration Date | 12/15/2012 |
Last Update Date | 12/15/2012 |
Identifier | Type | State | Issuer |
---|---|---|---|
1265778484 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1223G0001X | Dentist - General Practice | DE00008246 (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 | |
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 | |