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Fircrest Children's Dentistry
Dental Clinic/Center in Fircrest, Washington
NPI 1245650365

Fircrest Children's Dentistry is a Dental Clinic/Center based in Fircrest, WA and is specialized in Dental. Fircrest Children's Dentistry practices in Fircrest, WA. The NPI Number for Fircrest Children's Dentistry is 1245650365 and holds a License No. DE60140820 (Washington).

The current practice location address for Fircrest Children's Dentistry is 1501 Regents Blvd Ste 200, Fircrest, WA and can be reached out via phone at 253-564-2222.

Location: 1501 Regents Blvd Ste 200, Fircrest, WA, 98466-6098
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1245650365
Provider Name
Fircrest Children's Dentistry
Credential
Provider Entity Type
Organization
Address
1501 Regents Blvd Ste 200, Fircrest, WA, 98466-6098
Phone Number
253-564-2222
Fax Number
Provider Enumeration Date
04/16/2014
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
12-23-P0221 01 WA TAXONOMY, PEDIATRIC DENTISTRY
1033368006 05 WA
institution
Provider Business Practice Location Address Details
Address
1501 Regents Blvd Ste 200
City
Fircrest
State
Washington
Zip
98466-6098
Phone Number
253-564-2222
Fax Number
person
Provider Business Mailing Address Details
Address
1501 Regents Blvd Ste 200
City
Fircrest
State
Washington
Zip
98466-6098
Phone Number
253-564-2222
Fax Number
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Dental
Taxonomy
261QD0000X
License No.
DE60140820 (Washington)
Definition
Definition to come...
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