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Organization
TACOMA DENTURE CLINIC
Active
Organization
TACOMA DENTURE CLINIC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
WILLIAM J CARLSON DDS (OWNER)
(253) 475-8570
Entity
Organization
Contact information
Practice address
3712 S CEDAR ST, TACOMA, WA 98409-5715
(253) 475-8570
(253) 475-8577
Mailing address
3712 S CEDAR ST, TACOMA, WA 98409-5715
(253) 475-8570
(253) 475-8577
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
5397
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
5012976
—
WA
05
—
5042791
—
WA
05
—
5781604
—
WA
Enumeration date
11/14/2008
Last updated
11/14/2008
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