EVERLAST FAMILY DENTAL CLINIC NPI 1770809832

NPI Information

EVERLAST FAMILY DENTAL CLINIC is a dental clinic center in Tacoma, WA. EVERLAST FAMILY DENTAL CLINIC NPI is 1770809832. The provider is registered as an organization entity type.

The provider's business location address is:

1212 S 11TH ST STE 47
TACOMA, WA
ZIP 98405-021
Phone: (253) 573-0070
Fax: (253) 573-0272

The provider's authorized official is Eun J. Pyeun-kim .
The authorized official title is Owner and has the following contact phone number (253) 573-0070.

The enumeration date for this NPI number is 4/14/2010 and was last updated on 4/14/2010.

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:

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

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