South Tacoma Dental LLC
NPI #1396080032 in Tacoma, Washington
Provider Information
- NPI Number
- 1396080032
- Entity Type
- Organization
- Organization Name
- South Tacoma Dental LLC
- Primary Specialty
- Dentist - General Practice
- Enumeration Date
- Dec 6, 2012
- Last Updated
- Feb 21, 2023
Practice Location
- Address
- 223 140TH ST S
- City
- Tacoma
- State
- Washington
- ZIP Code
- 98444
- Phone
- (253) 537-1559
Authorized Official
- Name
- MATTHEW NUTTALL
- Title
- PARTNER/OWNER
- Phone
- (253) 537-1559
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist - General Practice — General Practice |
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