Organization · NPI-2

Anzi Dental Center 3

Dentist · Puyallup, WA

NPI number1457470882
StatusActive
Last updated in NPPESAug 22, 2020

Details

NPI
1457470882
Entity type
Organization (NPI-2)
Legal business name
Anzi Dental Center 3
Organization subpart
No
Enumeration date
Mar 28, 2007
Last updated
Aug 22, 2020

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
122300000X Dentist8264WAYes

Practice location

4202 10th St Se
#102
Puyallup, WA 98374

Phone 253-434-4401 · Fax 253-435-4404

Mailing address

4202 10th St Se
Suite 102
Puyallup, WA 98374

Phone 253-434-4401 · Fax 253-435-4404

Authorized official

Rosa Maria Cortesi
Ofice Manager
2534354401

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