| South Hill Childrens Dentistry | |
|
11102 Sunrise Blvd E Suite 108 Puyallup WA 98374-8846 | |
| (253) 848-1022 | |
| (253) 848-0218 |
| Full Name | South Hill Childrens Dentistry |
|---|---|
| Speciality | Dentist - Pediatric Dentistry |
| Location | 11102 Sunrise Blvd E, Puyallup, Washington |
| Authorized Official Name and Position | James L Miller (OWNER) |
| Authorized Official Contact | 2538481022 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| South Hill Childrens Dentistry 11102 Sunrise Blvd Suite 108 Puyallup WA 98374-8846 Ph: (253) 848-1022 | South Hill Childrens Dentistry 11102 Sunrise Blvd E Suite 108 Puyallup WA 98374-8846 Ph: (253) 848-1022 |
| NPI Number | 1821159047 |
|---|---|
| Provider Enumeration Date | 12/12/2006 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1821159047 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223P0221X | Dentist - Pediatric Dentistry | 6837 (Washington) | Primary |
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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 | |
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