Organization
OLYMPIC DENTAL & DENTURE CENTER, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RICHARD C JOHNSON L.D, (CEO)
(253) 752-1320
Entity
Organization
Contact information
Practice address
3720 6TH AVE, SUITE A, TACOMA, WA 98406-4938
(253) 752-1320
(253) 752-1425
Mailing address
3720 6TH AVE, SUITE A, TACOMA, WA 98406-4938
(253) 752-1320
(253) 752-1425
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
416
WA
Other
Enumeration date
02/04/2010
Last updated
02/04/2010
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