Individual
DR. GEORGE CALVIN BRAIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
1901 S UNION AVE, B-3008, TACOMA, WA 98405-1702
(253) 572-9777
(253) 627-6766
Mailing address
1901 S UNION AVE, B-3008, TACOMA, WA 98405-1702
(253) 572-9777
(253) 627-6766
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
DE00003551
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
5031455
—
WA
Enumeration date
09/25/2007
Last updated
09/25/2007
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