PT. DEFIANCE DENTAL CLINIC AND LAB NPI 1467874917

NPI Information

PT. DEFIANCE DENTAL CLINIC AND LAB is a denturist in Tacoma, WA. The provider is a denturist is a licensed professional that serves patients with removable dental prosthetic oral health needs. A licensed denturist is trained in removable dental prosthetics and the fabrication of such devices. PT. DEFIANCE DENTAL CLINIC AND LAB NPI is 1467874917. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

5904 N 45TH ST
TACOMA, WA
ZIP 98407-902
Phone: (253) 238-1783

The provider's authorized official is Sofya V Kochubey .
The authorized official title is Owner and has the following contact phone number (253) 238-1783.

The enumeration date for this NPI number is 1/16/2014 and was last updated on 1/16/2014.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

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