# C W CHARRON INC PS

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Northwest Dental Services
- **Organization subpart:** No

## Provider details

- **NPI number:** 1992926174
- **Authorized official:** MR. VALLAN T CHARRON (PRESIDENT)
- **Authorized official phone:** (253) 383-3001

## Contact information

- **Practice address:** 725 ST HELENS AVE, TACOMA, WA 98402-3705
- **Practice address phone:** (253) 383-3001
- **Practice address fax:** (253) 383-4810
- **Mailing address:** 725 ST HELENS AVE, TACOMA, WA 98402-3705
- **Mailing address phone:** (253) 383-3001
- **Mailing address fax:** (253) 383-4810

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223G0001X | General Practice Dentistry | — | NULL | Yes |
| 1223G0001X | General Practice Dentistry | — | — | Yes |

## Other

- **Enumeration date:** 05/02/2007
- **Last updated:** 08/22/2020