Puyallup Dental, LLC
NPI #1992059737 in Puyallup, Washington
Provider Information
- NPI Number
- 1992059737
- Entity Type
- Organization
- Organization Name
- Puyallup Dental, LLC
- Primary Specialty
- Dentist
- Enumeration Date
- Nov 1, 2012
- Last Updated
- Nov 1, 2012
Practice Location
- Address
- 16420 MERIDIAN E
- City
- Puyallup
- State
- Washington
- ZIP Code
- 98375-2514
- Phone
- (253) 475-9120
Authorized Official
- Name
- DR. TRAVIS JOHN PROBST, D.D.S.
- Title
- DENTIST
- Phone
- (253) 475-9120
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist |
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