# ANZI DENTAL CENTER 1

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

## Provider details

- **NPI number:** 1386781250
- **Authorized official:** MS. ROSA MARIA CORTESI (OFFICE MANAHER(CORPORATE OFFICE))
- **Authorized official phone:** (253) 671-9966

## Contact information

- **Practice address:** 3711 PACIFIC AVE, STE 300, TACOMA, WA 98418
- **Practice address phone:** (253) 671-9966
- **Practice address fax:** (253) 471-3540
- **Mailing address:** 3711 PACIFIC AVE, STE 300, TACOMA, WA 98418
- **Mailing address phone:** (253) 671-9966
- **Mailing address fax:** (253) 471-3540

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 122300000X | Dentist | DE00008264 | WA | Yes |

## Other

- **Enumeration date:** 01/31/2007
- **Last updated:** 08/22/2020

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 5036983 | — | WA |