| Sunrise Dental Of Puyallup | |
|
13333 Meridian E Ste E Puyallup WA 98373-2405 | |
| (253) 770-4342 | |
| Not Available |
| Full Name | Sunrise Dental Of Puyallup |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 13333 Meridian E Ste E, Puyallup, Washington |
| Authorized Official Name and Position | David S Shao (OWNER) |
| Authorized Official Contact | 4256791931 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Sunrise Dental Of Puyallup 13333 Meridian E Ste E Puyallup WA 98373-2405 Ph: () - | Sunrise Dental Of Puyallup 13333 Meridian E Ste E Puyallup WA 98373-2405 Ph: (253) 770-4342 |
| NPI Number | 1740514561 |
|---|---|
| Provider Enumeration Date | 09/25/2009 |
| Last Update Date | 01/06/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1740514561 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | DE00010340 (Washington) | Secondary |
| 1223G0001X | Dentist - General Practice | DE00010151 (Washington) | Primary |
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