Individual provider · NPI-1

Breinn Ashley Bertrand, DDS

Dentist, General Practice · Puyallup, WA

NPI number1083269682
StatusActive
Last updated in NPPESAug 9, 2019

Details

NPI
1083269682
Entity type
Individual (NPI-1)
Name
Breinn Ashley Bertrand
Credential
DDS
Sex
Female
Sole proprietor
No
Enumeration date
Aug 9, 2019
Last updated
Aug 9, 2019

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
1223G0001X Dentist, General Practice60970002WAYes

Practice location

13613 Meridian E Ste 180
Puyallup, WA 98373-3664

Phone 253-845-3000

Mailing address

1911 N 46th St Apt 306
Seattle, WA 98103-6860

Phone 253-579-4103

Is something wrong?

This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.

Other Dentist, General Practice providers in Puyallup, WA