Individual
VICKI BREAKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
1708 E 44TH STREET, TACOMA, WA 98404
(253) 572-7002
(253) 593-2854
Mailing address
1019 PACIFIC AVE, STE. 300, TACOMA, WA 98402-4443
(253) 722-1540
(253) 722-1546
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DE00005989
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
5007786
—
WA
Enumeration date
08/05/2006
Last updated
03/31/2016
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