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Organization

TACOMA DENTURE CLINIC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
WILLIAM J CARLSON DDS (OWNER)
(253) 475-8570
Entity
Organization

Contact information

Practice address
3712 S CEDAR ST, TACOMA, WA 98409-5715
(253) 475-8570
(253) 475-8577
Mailing address
3712 S CEDAR ST, TACOMA, WA 98409-5715
(253) 475-8570
(253) 475-8577

Taxonomy

Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
5397
WA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
5012976
WA
05
5042791
WA
05
5781604
WA
Enumeration date
11/14/2008
Last updated
11/14/2008
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