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General NPI Number Information
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NPI Number | 1114803301
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Entity Type | Organization
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Legal Business Name | SOUNDVIEW DENTURE CLINIC P.S.
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Dates
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Enumeration Date | 08/13/2025
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Last Update Date | 08/13/2025
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Provider Practice Location Address
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Address Line | 5800 SOUNDVIEW DR STE A102
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City | GIG HARBOR
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State | WA
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Zip | 98335-2057
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Country | US
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Telephone | 253-858-1598
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Fax | 253-858-1036
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Provider Business Mailing Address
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Address Line | 5800 SOUNDVIEW DR STE A102
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City | GIG HARBOR
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State | WA
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Zip | 98335-2057
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Country | US
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Telephone | 253-858-1598
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Fax | 253-858-1036
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Authorized Official
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Title or Position | PRESIDENT
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Name | DEXTER G GRUVER
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Credential | DENTURIST
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Telephone | 208-403-9694
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QD0000X
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Taxonomy Name | Dental Clinic/Center
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License Number |
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License Number State |
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