# DAVID R HANNULA DDS PS

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- **Entity:** Organization
- **Status:** Active
- **Other names:** 6th ave dental care
- **Organization subpart:** No

## Provider details

- **NPI number:** 1417506049
- **Authorized official:** DR. DAVID HANNULA DDS (PRESIDENT)
- **Authorized official phone:** (253) 759-5622

## Contact information

- **Practice address:** 4146 6TH AVE, TACOMA, WA 98406-4013
- **Practice address phone:** (253) 759-5622
- **Practice address fax:** (253) 761-8441
- **Mailing address:** 4146 6TH AVE, TACOMA, WA 98406-4013
- **Mailing address phone:** (253) 759-5622
- **Mailing address fax:** (253) 761-8441

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QD0000X | Dental Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 09/06/2019
- **Last updated:** 09/06/2019