Organization
COMMUNITY HEALTH CARE
Active
Other names
CLR Dental Clinic
Organization subpart
No
Provider details
NPI number
Authorized official
DAVID FLENTGE (PRESIDENT/CEO)
(253) 597-4550
Entity
Organization
Contact information
Practice address
737 FAWCETT AVE, TACOMA, WA 98402-5503
(253) 830-5969
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
12/20/2021
Last updated
04/29/2024
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