# TACOMA DENTAL AND IMPLANT CENTER PS

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Tacoma Dental and Implant Center PS
- **Organization subpart:** No

## Provider details

- **NPI number:** 1972918399
- **Authorized official:** DR. YURIY BAGDASAROV DDS (OWNER)
- **Authorized official phone:** (253) 472-0152

## Contact information

- **Practice address:** 4704 SOUTH OAKES ST \#103, TACOMA, WA 98409
- **Practice address phone:** (253) 472-0152
- **Mailing address:** 4704 S OAKES ST STE 103, TACOMA, WA 98409-6400
- **Mailing address phone:** (253) 472-0152

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QD0000X | Dental Clinic/Center | DE00008641 | WA | Yes |

## Other

- **Enumeration date:** 06/24/2014
- **Last updated:** 06/24/2014