A New Image Denture Clinic

NPI #1003237538 in Puyallup, Washington

Provider Information

NPI Number: 1003237538
Entity Type: Organization
Organization Name: A New Image Denture Clinic
Primary Specialty: Denturist
Enumeration Date: Dec 31, 2013
Last Updated: Dec 31, 2013

Practice Location

Address: 2811 E MAIN
City: Puyallup
State: Washington
ZIP Code: 98372-3167
Phone: (253) 770-7707

Authorized Official

Name: MR. PETER NABEGH GHATTAS, D.P.D.
Title: DENTURIST
Phone: (253) 770-7707

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Denturist	122400000X	Primary

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