Community Health Care
Clinic/Center, Dental in Tacoma, WA. Organization (NPI-2).
NPI number1033723366
StatusActive
Last updated in NPPESOct 19, 2020
Details
- NPI
- 1033723366
- Entity type
- Organization (NPI-2)
- Legal business name
- Community Health Care
- Organization subpart
- No
- Enumeration date
- Sep 3, 2020
- Certification date
- Oct 19, 2020
- Last updated
- Oct 19, 2020
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 261QD0000X | Clinic/Center, Dental | – | – | Yes |
Other names
- Arlington Youth Campus Dental (Doing Business As)
Practice location
3811 E Arlington Dr Rm 117Tacoma, WA 98404-4613
Phone 253-597-4550
Mailing address
1148 Broadway Ste 100Tacoma, WA 98402-3518
Phone 253-597-4550
Authorized official
David Flentge
President/Ceo
2535974550
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