| Puyallup Family Dental | |
|
5620 112th St E Suite 250 Puyallup WA 98373-3206 | |
| (253) 770-0529 | |
| (253) 770-9638 |
| Full Name | Puyallup Family Dental |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 5620 112th St E, Puyallup, Washington |
| Authorized Official Name and Position | Tamara Rosario (OFFICE MANAGER) |
| Authorized Official Contact | 2537700529 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Puyallup Family Dental 5620 112th St E Suite 250 Puyallup WA 98373-3206 Ph: (253) 770-0529 | Puyallup Family Dental 5620 112th St E Suite 250 Puyallup WA 98373-3206 Ph: (253) 770-0529 |
| NPI Number | 1891158317 |
|---|---|
| Provider Enumeration Date | 04/01/2016 |
| Last Update Date | 04/01/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1891158317 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 5254 (Washington) | Primary |
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