institution
Everlast Family Dental Clinic
Dental Clinic/Center in Tacoma, Washington
NPI 1770809832

Everlast Family Dental Clinic is a Dental Clinic/Center based in Tacoma, WA and is specialized in Dental. Everlast Family Dental Clinic practices in Tacoma, WA. The NPI Number for Everlast Family Dental Clinic is 1770809832 and holds a License No. DE00010831 (Washington).

The current practice location address for Everlast Family Dental Clinic is 1212 S 11Th St Ste 47, Tacoma, WA and can be reached out via phone at 253-573-0070 and via fax at 253-573-0272. You can also correspond with Everlast Family Dental Clinic through the mailing address at 1212 S 11TH ST STE 47, TACOMA, WA - 98405-4021 (mailing address contact number: 253-573-0070).

Location: 1212 S 11Th St Ste 47, Tacoma, WA, 98405-4021
institution
Provider Profile Details
NPI Number
1770809832
Provider Name
Everlast Family Dental Clinic
Credential
Provider Entity Type
Organization
Address
1212 S 11Th St Ste 47, Tacoma, WA, 98405-4021
Phone Number
253-573-0070
Fax Number
253-573-0272
Provider Enumeration Date
04/14/2010
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
5056478 05 WA
institution
Provider Business Practice Location Address Details
Address
1212 S 11Th St Ste 47
City
State
Zip
98405-4021
Phone Number
253-573-0070
Fax Number
253-573-0272
person
Provider Business Mailing Address Details
Address
1212 S 11Th St Ste 47
City
State
Zip
98405-4021
Phone Number
253-573-0070
Fax Number
253-573-0272
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Dental
Taxonomy
License No.
DE00010831 (Washington)
Definition
Definition to come...
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