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Organization

TACOMA DIAGNOSTIC IMAGING CENTER, LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MICHAEL J. GIESY D.M.D. (MANAGER/MEMBER)
(253) 752-6630
Entity
Organization

Contact information

Practice address
6004 WESTGATE BLVD, SUITE 210, TACOMA, WA 98406-2503
(253) 752-6630
(253) 752-1173
Mailing address
6004 WESTGATE BLVD, SUITE 210, TACOMA, WA 98406-2503
(253) 752-6630
(253) 752-1173

Taxonomy

Speciality
Code
Description
License number
State
292200000X
Dental Laboratory
Primary

Other

Enumeration date
01/29/2014
Last updated
01/29/2014
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