Dr. Nikolaas Enrique Reyna, DDS
Dentist, General Practice in Puyallup, WA. Individual provider (NPI-1).
NPI number1083178560
StatusActive
Last updated in NPPESJan 29, 2019
Details
- NPI
- 1083178560
- Entity type
- Individual (NPI-1)
- Name
- Dr. Nikolaas Enrique Reyna
- Credential
- DDS
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Jan 29, 2019
- Last updated
- Jan 29, 2019
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 1223G0001X | Dentist, General Practice | 60889505 | WA | Yes |
Practice location
8012 112th Street Ct E Ste 320Puyallup, WA 98373-7856
Phone 253-848-2331
Mailing address
8012 112th Street Ct E Ste 20Puyallup, WA 98373-7856
Phone 253-848-2331
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All 98 General Practice Dentistry providers in Puyallup · All 4,232 providers in Puyallup
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