# ERIC A VETTER DDS MSD PS

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

## Provider details

- **NPI number:** 1629266457
- **Authorized official:** ERIC A VETTER DDS MSD PS (OWNER)
- **Authorized official phone:** (253) 752-5511

## Contact information

- **Practice address:** 4050 S 19TH ST, \#102, TACOMA, WA 98405-1462
- **Practice address phone:** (253) 752-5511
- **Mailing address:** 4050 S 19TH ST, \#102, TACOMA, WA 98405-1462

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QD0000X | Dental Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 10/05/2007
- **Last updated:** 10/05/2007