Organization
STEVEN P MARINKOVICH DDS
Active
Other names
Evergreen Dental Center
Organization subpart
No
Provider details
NPI number
Authorized official
STEVEN P MARINKOVICH DDS, ABDSM (OWNER/DOCTOR)
(253) 474-3223
Entity
Organization
Contact information
Practice address
5225 TACOMA MALL BLVD, SUITE E-104, TACOMA, WA 98409-7018
(253) 474-3223
(253) 473-6762
Mailing address
5225 TACOMA MALL BLVD, SUITE E-104, TACOMA, WA 98409-7018
(253) 474-3223
(253) 473-6762
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
—
—
332BC3200X
Customized Equipment (DME)
Primary
DE00004767
WA
Other
Enumeration date
09/17/2012
Last updated
02/14/2014
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