| Puyallup Valley Dental Care | |
|
2921 5th Ave Ne Suite 110 Puyallup WA 98372-7044 | |
| (253) 841-3173 | |
| Not Available |
| Full Name | Puyallup Valley Dental Care |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 2921 5th Ave Ne, Puyallup, Washington |
| Authorized Official Name and Position | Lauren Gideon (OFFICE MANAGER) |
| Authorized Official Contact | 2538413173 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Puyallup Valley Dental Care 2921 5th Ave Ne Suite 110 Puyallup WA 98372-7044 Ph: (253) 841-3173 | Puyallup Valley Dental Care 2921 5th Ave Ne Suite 110 Puyallup WA 98372-7044 Ph: (253) 841-3173 |
| NPI Number | 1114045804 |
|---|---|
| Provider Enumeration Date | 03/27/2007 |
| Last Update Date | 06/27/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1114045804 | NPI | - | NPPES |
| 5047048 | Medicaid | WA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 5496 (Washington) | Primary |
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Levi Reynolds Dds Pllc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 2921 5th Ave Ne Ste 110, Puyallup, WA 98372 Phone: 253-841-3173 | |
Kim D Nordberg Dds, Ps Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 11023 Canyon Rd E, Puyallup, WA 98373 Phone: 253-535-6666 Fax: 253-535-5432 | |
Paula Stepp Pllc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 15614 Meridian E Ste 400, Puyallup, WA 98375 Phone: 618-363-6496 | |
Rainier Dental Puyallup Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 18710 Meridian E Ste 216, Puyallup, WA 98375 Phone: 253-846-5588 Fax: 253-846-5589 | |
George G. Ghosn D.d.s.,p.s. Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 604 S Meridian, Puyallup, WA 98371 Phone: 253-845-7911 Fax: 253-845-1475 |