Washington Dental Corporation, PC

NPI #1548819568 in Puyallup, Washington

Provider Information

NPI Number: 1548819568
Entity Type: Organization
Organization Name: Washington Dental Corporation, PC
Primary Specialty: Dentist
Enumeration Date: Sep 11, 2019
Last Updated: Sep 11, 2019

Practice Location

Address: 12005 MERIDIAN E STE 102
City: Puyallup
State: Washington
ZIP Code: 98373-3423
Phone: (253) 214-9293

Authorized Official

Name: DULCE GOMEZ
Title: CREDENTIALING SUPERVISOR
Phone: (714) 845-8701

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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