# LIGHT DENTAL STUDIOS

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

## Provider details

- **NPI number:** 1942689419
- **Authorized official:** DR. ANGIE DUNN D.D.S. (PARTNER)
- **Authorized official phone:** (253) 848-2331

## Contact information

- **Practice address:** 8012 112TH STREET CT E, \#320, PUYALLUP, WA 98373-7856
- **Practice address phone:** (253) 848-2331
- **Mailing address:** 8012 112TH STREET CT E, \#320, PUYALLUP, WA 98373-7856

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223G0001X | General Practice Dentistry | — | NULL | Yes |
| 1223G0001X | General Practice Dentistry | — | — | Yes |

## Other

- **Enumeration date:** 05/29/2015
- **Last updated:** 05/29/2015