Organization
FIRCREST CHILDREN'S DENTISTRY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. STEPHEN D BECK DMD, MS (PEDIATRIC DENTIST)
(253) 564-2222
Entity
Organization
Contact information
Practice address
1501 REGENTS BLVD STE 200, FIRCREST, WA 98466-6098
(253) 564-2222
Mailing address
1501 REGENTS BLVD STE 200, FIRCREST, WA 98466-6098
(253) 564-2222
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
DE60140820
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1033368006
—
WA
01
—
12-23-P0221
TAXONOMY, PEDIATRIC DENTISTRY
WA
Enumeration date
04/16/2014
Last updated
04/17/2014
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