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Individual

SCOTT S PROBST

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
DDS

Contact information

Practice address
3820 PACIFIC AVE, SUITE 101, TACOMA, WA 98418-7825
(253) 472-3006
(253) 472-3011
Mailing address
3820 PACIFIC AVE, SUITE 101, TACOMA, WA 98418-7825
(253) 472-3006
(253) 472-3011

Taxonomy

Speciality
Code
Description
License number
State
122300000X
Dentist
9475DDS
CO
122300000X
Dentist
Primary
DE 60178653
WA

Other

Enumeration date
08/29/2007
Last updated
06/20/2011
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