| Organization Name: | FIRCREST CHILDREN'S DENTISTRY |
| NPI Number: | 1245650365 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | STEPHEN D BECK (PEDIATRIC DENTIST) |
| Mailing Address: | 1501 Regents Blvd Ste 200 Fircrest |
| State: | WA US |
| Postal Code: | 984666098 |
| Phone Number: | 2535642222 |
| Fax Number: | |
| NPI Enumeration Date: | 04/16/2014 |
| NPI Last Update Date: | 04/17/2014 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 261QD0000X |
| License Number: | DE60140820 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | WA |
| Taxonomy Type: | Ambulatory Health Care Facilities |
| Taxonomy Classification: | Clinic/Center |
| Taxonomy Specialization: | Dental |
| Taxonomy Definition: | |