Pat and Amanda Dibble Pllc

NPI #1447600507 in Federal Way, Washington

Provider Information

NPI Number: 1447600507
Entity Type: Organization
Organization Name: Pat and Amanda Dibble Pllc
Primary Specialty: Dentist
Enumeration Date: Jun 20, 2016
Last Updated: Jun 20, 2016

Practice Location

Address: 33801 1ST WAY S STE 201
City: Federal Way
State: Washington
ZIP Code: 98003-6219
Phone: (253) 838-4770

Authorized Official

Name: DR. PATRICIO RAFAEL DIBBLE, D.M.D.
Title: MANAGER/DENTIST
Phone: (253) 838-4770

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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