Organization
COMMUNITY HEALTH CARE
Active
Other names
Arlington Youth Campus Dental
Organization subpart
No
Provider details
NPI number
Authorized official
DAVID FLENTGE (PRESIDENT/CEO)
(253) 597-4550
Entity
Organization
Contact information
Practice address
3811 E ARLINGTON DR RM 117, TACOMA, WA 98404-4613
(253) 597-4550
Mailing address
1148 BROADWAY STE 100, TACOMA, WA 98402-3518
(253) 597-4550
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Enumeration date
09/03/2020
Last updated
10/19/2020
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