# ANZI DENTAL CENTER 3

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

## Provider details

- **NPI number:** 1457470882
- **Authorized official:** ROSA MARIA CORTESI (OFICE MANAGER)
- **Authorized official phone:** (253) 435-4401

## Contact information

- **Practice address:** 4202 10TH ST SE, \#102, PUYALLUP, WA 98374
- **Practice address phone:** (253) 434-4401
- **Practice address fax:** (253) 435-4404
- **Mailing address:** 4202 10TH ST SE, SUITE 102, PUYALLUP, WA 98374
- **Mailing address phone:** (253) 434-4401
- **Mailing address fax:** (253) 435-4404

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 122300000X | Dentist | 8264 | WA | Yes |

## Other

- **Enumeration date:** 03/28/2007
- **Last updated:** 08/22/2020