Organization
SIXTH AVENUE DENTURE CENTER, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. CINDY J REED (OFFICE MANAGER)
(253) 627-8178
Entity
Organization
Contact information
Practice address
1217 6TH AVE, TACOMA, WA 98405-4004
(253) 627-8178
(253) 627-5853
Mailing address
1217 6TH AVE, TACOMA, WA 98405-4004
(253) 627-8178
(253) 627-5853
Taxonomy
Speciality
Code
Description
License number
State
122400000X
Denturist
Primary
DN0000473
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
5056965
DEPARTMENT OF SOCIAL AND HEALTH SERVICES
WA
Enumeration date
09/10/2008
Last updated
09/10/2008
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