Organization
GE DENT DDS PS
Active
Other names
Proctor Family Dentistry
Organization subpart
No
Provider details
NPI number
Authorized official
MS. JENNIFER LEA BUSH (OFFICE MANAGER)
(253) 759-6800
Entity
Organization
Contact information
Practice address
2614 N. ADAMS ST., TACOMA, WA 98407-5826
(253) 759-6800
(253) 759-0894
Mailing address
P.O. BOX 7065, TACOMA, WA 98417-0065
(253) 759-6800
(253) 759-0894
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
—
—
Other
Enumeration date
05/22/2013
Last updated
10/18/2023
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