| NPI | 1891158317 |
|---|---|
| Doing Business As | PUYALLUP FAMILY DENTAL |
| Entity Type | Organization |
| Authorized Contact | TAMARA ROSARIO Office Manager 253-770-0529 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: WA 5254) |
| Enumeration Date | 2016-04-01 |
| Last Update Date | 2016-04-01 |