Individual
STEPHEN PAUL GREIWE
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
2614 N ADAMS ST, TACOMA, WA 98407-5826
(253) 272-2734
Mailing address
2614 N ADAMS ST, TACOMA, WA 98407-5826
(253) 272-2734
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
05256
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
05256
STATE LICENSE #
WA
Enumeration date
06/06/2006
Last updated
07/08/2007
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