NPI 1003148719

Olympic Dental & Denture Center, LLC

Organisation Dental Clinic/Center Tacoma, WA

Practice location

Address: 3720 6th Ave Suite a, Tacoma, WA 98406-4938
Phone: (253) 752-1320
Fax: (253) 752-1425

Authorised official

Name: Richard C Johnson
Title: Ceo
Phone: (253) 752-1320

Registered specialties

Dental Clinic/Center Primary

Ambulatory Health Care Facilities Taxonomy 261QD0000X Licence 416 (WA)

Other Clinic/Center providers in Washington →

Registry record

NPI: 1003148719
Entity type: Organization
NPI issued: 4 Feb 2010
Record last updated: 4 Feb 2010

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.