Individual
MRS. TAMMY M ECKART
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DMD
Contact information
Practice address
4408 PACIFIC AVE SE, LACEY, WA 98503-1119
(360) 438-8299
(360) 438-1399
Mailing address
4408 PACIFIC AVE SE, LACEY, WA 98503-1119
(360) 438-8299
(360) 438-1399
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
10245
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
4408EC
REGENCE BLUE SHEILD
WA
05
—
5050133
—
WA
Enumeration date
10/04/2006
Last updated
07/09/2007
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