Individual provider · NPI-1
Peter Nabegh N Ghattas, D.P.D
Denturist · Puyallup, WA
NPI number1306970801
StatusActive
Last updated in NPPESJul 8, 2007
Details
- NPI
- 1306970801
- Entity type
- Individual (NPI-1)
- Name
- Peter Nabegh N Ghattas
- Credential
- D.P.D
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- Mar 15, 2007
- Last updated
- Jul 8, 2007
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 122400000X | Denturist | DN00000199 | WA | Yes |
Practice location
2811 E MainPuyallup, WA 98372-3167
Phone 253-770-7707 · Fax 253-770-8784
Mailing address
2811 E MainPuyallup, WA 98372-3167
Phone 253-770-7707 · Fax 253-770-8784
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