Organization
TACOMA DENTAL AND IMPLANT CENTER PS
Active
Other names
Tacoma Dental and Implant Center PS
Organization subpart
No
Provider details
NPI number
Authorized official
DR. YURIY BAGDASAROV DDS (OWNER)
(253) 472-0152
Entity
Organization
Contact information
Practice address
4704 SOUTH OAKES ST #103, TACOMA, WA 98409
(253) 472-0152
Mailing address
4704 S OAKES ST STE 103, TACOMA, WA 98409-6400
(253) 472-0152
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
DE00008641
WA
Other
Enumeration date
06/24/2014
Last updated
06/24/2014
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