| Puyallup Family Dental | |
|
5620 112th St E Ste 250 Puyallup WA 98373-3218 | |
| (253) 770-0529 | |
| (253) 770-9638 |
| Full Name | Puyallup Family Dental |
|---|---|
| Speciality | Dentist |
| Location | 5620 112th St E Ste 250, Puyallup, Washington |
| Authorized Official Name and Position | Darilyn Henry (GENERAL 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 Ste 250 Puyallup WA 98373-3218 Ph: (253) 770-0529 | Puyallup Family Dental 5620 112th St E Ste 250 Puyallup WA 98373-3218 Ph: (253) 770-0529 |
| NPI Number | 1982154233 |
|---|---|
| Provider Enumeration Date | 10/11/2016 |
| Last Update Date | 10/11/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1982154233 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | DE00011049 (Washington) | Primary |
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