| South Hill Children's Dentistry | |
|
11102 Sunrise Blvd E Ste 108 Puyallup WA 98374-8846 | |
| (253) 209-7555 | |
| Not Available |
| Full Name | South Hill Children's Dentistry |
|---|---|
| Speciality | Dentist - Pediatric Dentistry |
| Location | 11102 Sunrise Blvd E Ste 108, Puyallup, Washington |
| Authorized Official Name and Position | Clara Winona Brannan (PEDIATRIC DENTIST) |
| Authorized Official Contact | 2532097555 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| South Hill Children's Dentistry 11102 Sunrise Blvd E Ste 108 Puyallup WA 98374-8846 Ph: (253) 209-7555 | South Hill Children's Dentistry 11102 Sunrise Blvd E Ste 108 Puyallup WA 98374-8846 Ph: (253) 209-7555 |
| NPI Number | 1619396652 |
|---|---|
| Provider Enumeration Date | 04/07/2014 |
| Last Update Date | 04/07/2014 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1619396652 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223P0221X | Dentist - Pediatric Dentistry | DE00010981 (Washington) | Primary |
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