Organization
COMMUNITY HEALTH CARE
Active
Other names
Bethel Middle School Dental Clinic
Organization subpart
No
Provider details
NPI number
Authorized official
DAVID FLENTGE (CEO)
(253) 597-4550
Entity
Organization
Contact information
Practice address
22001 38TH AVE E RM 111, SPANAWAY, WA 98387-6875
(253) 597-4550
Mailing address
1148 BROADWAY STE 100, TACOMA, WA 98402-3518
(253) 597-4550
Taxonomy
Speciality
Code
Description
License number
State
261QC1500X
Community Health Clinic/Center
—
—
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Enumeration date
06/10/2019
Last updated
06/10/2019
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