Organization
DR THOMAS J MCAVOY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. THOMAS J MCAVOY DDS (DDS)
(253) 582-3106
Entity
Organization
Contact information
Practice address
1710 LAFAYETTE STREET, STEILACOOM, WA 98388
(253) 582-3106
Mailing address
1710 LAFAYETTE STREET, STEILACOOM, WA 98388
(253) 582-3106
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
400-729
UNITED CONCORDIA
WA
Enumeration date
06/16/2008
Last updated
06/16/2008
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