# DONALD C PARADISE DDS PS

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1265542963
- **Authorized official:** DR. DONALD CHARLES PARADISE DDS (OWNER DENTIST)
- **Authorized official phone:** (253) 582-1570

## Contact information

- **Practice address:** 9618 59TH AVE SW, TACOMA, WA 98498
- **Practice address phone:** (253) 582-1570
- **Practice address fax:** (253) 582-2323
- **Mailing address:** 9618 59TH AVE SW, LAKE WOOD DENTAL BUILDING, TACOMA, WA 98498
- **Mailing address phone:** (253) 582-1570
- **Mailing address fax:** (253) 582-2323

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 122300000X | Dentist | 3596 | WA | Yes |

## Other

- **Enumeration date:** 08/30/2006
- **Last updated:** 08/22/2020