Organization
GEORGE C. BRAIN DDS PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. LORIE ANNE RAMSDELL (OFFICE MANAGER)
(253) 572-9777
Entity
Organization
Contact information
Practice address
1901 S UNION AVE, SUITE B-3008, TACOMA, WA 98405-1702
(253) 572-9777
(253) 627-6766
Mailing address
1901 S UNION AVE, SUITE B-3008, TACOMA, WA 98405-1702
(253) 572-9777
(253) 627-6766
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
DE00003551
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
5031455
—
WA
Enumeration date
10/03/2006
Last updated
08/22/2020
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