| Anzi Dental Center 1 | |
|
3711 Pacific Ave Ste 300 Tacoma WA 98418 | |
| (253) 671-9966 | |
| (253) 471-3540 |
| Full Name | Anzi Dental Center 1 |
|---|---|
| Speciality | Dentist |
| Location | 3711 Pacific Ave, Tacoma, Washington |
| Authorized Official Name and Position | Rosa Maria Cortesi (OFFICE MANAHER(CORPORATE OFFICE)) |
| Authorized Official Contact | 2536719966 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Anzi Dental Center 1 3711 Pacific Ave Ste 300 Tacoma WA 98418 Ph: (253) 671-9966 | Anzi Dental Center 1 3711 Pacific Ave Ste 300 Tacoma WA 98418 Ph: (253) 671-9966 |
| NPI Number | 1386781250 |
|---|---|
| Provider Enumeration Date | 01/31/2007 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1386781250 | NPI | - | NPPES |
| 5036983 | Medicaid | WA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | DE00008264 (Washington) | Primary |
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