| Plaza 410 Dental Associates | |
|
16202 64th St E Suite #101 Sumner WA 98390-3028 | |
| (253) 891-0977 | |
| (253) 826-4613 |
| Full Name | Plaza 410 Dental Associates |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 16202 64th St E, Sumner, Washington |
| Authorized Official Name and Position | D Richard Colton (PARTNER) |
| Authorized Official Contact | 2538910977 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Plaza 410 Dental Associates 16202 64th St E Suite #101 Sumner WA 98390-3028 Ph: (253) 891-0977 | Plaza 410 Dental Associates 16202 64th St E Suite #101 Sumner WA 98390-3028 Ph: (253) 891-0977 |
| NPI Number | 1699911222 |
|---|---|
| Provider Enumeration Date | 01/03/2009 |
| Last Update Date | 01/03/2009 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1699911222 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 5404 (Washington) | Primary |
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