Organization
WEST TACOMA DENTAL LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DANIEL DAVID CROSSEN DMD (OWNER)
(253) 752-6349
Entity
Organization
Contact information
Practice address
2501 N PEARL ST, TACOMA, WA 98406-2540
(253) 752-6349
Mailing address
2501 N PEARL ST, TACOMA, WA 98406-2540
(253) 752-6349
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
DE60235923
WA
Other
Enumeration date
01/11/2012
Last updated
01/11/2012
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