| Dove Family Dentistry | |
|
600 39th Ave Sw Puyallup WA 98373-5900 | |
| (253) 770-2777 | |
| (253) 770-2783 |
| Full Name | Dove Family Dentistry |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 600 39th Ave Sw, Puyallup, Washington |
| Authorized Official Name and Position | Roland Gerard Vantramp (OWNER GENERAL DENTIST) |
| Authorized Official Contact | 2537702777 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Dove Family Dentistry 600 39th Ave Sw Puyallup WA 98373-5900 Ph: (253) 770-2777 | Dove Family Dentistry 600 39th Ave Sw Puyallup WA 98373-5900 Ph: (253) 770-2777 |
| NPI Number | 1760507321 |
|---|---|
| Provider Enumeration Date | 03/20/2007 |
| Last Update Date | 10/30/2009 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1760507321 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 6027 (Oklahoma) | Primary |
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