# WEST TACOMA DENTAL LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1518237221
- **Authorized official:** DANIEL DAVID CROSSEN DMD (OWNER)
- **Authorized official phone:** (253) 752-6349

## Contact information

- **Practice address:** 2501 N PEARL ST, TACOMA, WA 98406-2540
- **Practice address phone:** (253) 752-6349
- **Mailing address:** 2501 N PEARL ST, TACOMA, WA 98406-2540
- **Mailing address phone:** (253) 752-6349

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 122300000X | Dentist | DE60235923 | WA | Yes |

## Other

- **Enumeration date:** 01/11/2012
- **Last updated:** 01/11/2012