St. Anthony's Family Dentistry, Llc | |
11511 Canterwood Blvd Nw Ste. 120 Gig Harbor WA 98332-5813 | |
(253) 857-2483 | |
Not Available |
Full Name | St. Anthony's Family Dentistry, Llc |
---|---|
Speciality | Dentist |
Location | 11511 Canterwood Blvd Nw, Gig Harbor, Washington |
Authorized Official Name and Position | Mark D. Johnson (PRESIDENT) |
Authorized Official Contact | 2538572483 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
St. Anthony's Family Dentistry, Llc 11511 Canterwood Blvd Nw Ste. 120 Gig Harbor WA 98332-5813 Ph: (253) 857-2483 | St. Anthony's Family Dentistry, Llc 11511 Canterwood Blvd Nw Ste. 120 Gig Harbor WA 98332-5813 Ph: (253) 857-2483 |
NPI Number | 1386973964 |
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Provider Enumeration Date | 12/10/2009 |
Last Update Date | 12/10/2009 |
Identifier | Type | State | Issuer |
---|---|---|---|
1386973964 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
122300000X | Dentist | 5841 (Washington) | Primary |
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