Anzi Dental Center 2 | |
20071 State Route 410 E Bonney Lake WA 98391-8460 | |
(253) 447-4966 | |
(253) 447-4968 |
Full Name | Anzi Dental Center 2 |
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Speciality | Dentist |
Location | 20071 State Route 410 E, Bonney Lake, Washington |
Authorized Official Name and Position | Rosa Maria Cortesi (OFFICE MANAGER (CORPORATE OFFICE)) |
Authorized Official Contact | 2534354401 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Anzi Dental Center 2 20071 State Route 410 E Bonney Lake WA 98391-8460 Ph: (253) 447-4966 | Anzi Dental Center 2 20071 State Route 410 E Bonney Lake WA 98391-8460 Ph: (253) 447-4966 |
NPI Number | 1083750327 |
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Provider Enumeration Date | 01/30/2007 |
Last Update Date | 08/22/2020 |
Identifier | Type | State | Issuer |
---|---|---|---|
1083750327 | NPI | - | NPPES |
5048319 | Medicaid | WA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
122300000X | Dentist | DE00008264 (Washington) | Primary |
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