PUYALLUP DENTAL, LLC

PUYALLUP, WA
NPI1992059737
Entity TypeOrganization
Authorized ContactTRAVIS JOHN PROBST
Dentist
253-475-9120
Organization Subpart ?No
Primary Taxonomy122300000X Dentist
(Licence: WA  DE 60198294)
Enumeration Date2012-11-01
Last Update Date2012-11-01
Business Address
PUYALLUP DENTAL, LLC
16420 MERIDIAN E
PUYALLUP, WA 98375-2514
Phone number: 253-475-9120
Mailing Address
PUYALLUP DENTAL, LLC
16420 MERIDIAN E
PUYALLUP, WA 98375-2514
Phone number: 253-475-9120
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