Organization
ORTHODONTIC CARE OF WA
Active
Organization
ORTHODONTIC CARE OF WA
Active
Other names
Orthodontic care of GA
Organization subpart
No
Provider details
NPI number
Authorized official
DR. HECTOR MARTIN BUSH D.M.D (OWNER)
(678) 432-8508
Entity
Organization
Contact information
Practice address
2520 S 38TH ST, STE A, TACOMA, WA 98409
(253) 343-9133
(253) 343-9135
Mailing address
2520 S 38TH ST, STE A, TACOMA, WA 98409
(253) 343-9133
(253) 343-9135
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
DN011309
GA
Other
Enumeration date
01/18/2007
Last updated
01/14/2020
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