Organization
CHARLES CROASDILL DMD PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CHARLES CROASDILL WATSON CROASDILL DMD (OWNER)
(253) 759-5414
Entity
Organization
Contact information
Practice address
2520 N ALDER ST, TACOMA, WA 98406-6632
(253) 759-5414
Mailing address
2520 N ALDER ST, TACOMA, WA 98406-6632
(253) 759-5414
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
5005
WA
Other
Enumeration date
03/20/2009
Last updated
03/20/2009
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