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Organization
COMMUNITY HEALTH CARE
Active
Organization
COMMUNITY HEALTH CARE
Active
Other names
Bethel Middle School Dental Clinic
Organization subpart
No
Provider details
NPI number
Authorized official
DAVID FLENTGE (CEO)
(253) 597-4550
Entity
Organization
Contact information
Practice address
22001 38TH AVE E RM 111, SPANAWAY, WA 98387-6875
(253) 597-4550
Mailing address
1148 BROADWAY STE 100, TACOMA, WA 98402-3518
(253) 597-4550
Taxonomy
Speciality
Code
Description
License number
State
261QC1500X
Community Health Clinic/Center
—
NULL
261QD0000X
Dental Clinic/Center
Primary
—
NULL
Other
Enumeration date
06/10/2019
Last updated
06/10/2019
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