# PACHECO & HENRY DDS PS

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Bridgeport Family Dentistry
- **Organization subpart:** No

## Provider details

- **NPI number:** 1972058428
- **Authorized official:** DARILYN HENRY (GENERAL MANAGER)
- **Authorized official phone:** (253) 564-9633

## Contact information

- **Practice address:** 4620 BRIDGEPORT WAY W STE B, UNIVERSITY PLACE, WA 98466-4237
- **Practice address phone:** (253) 564-9633
- **Mailing address:** 4620 BRIDGEPORT WAY W STE B, UNIVERSITY PLACE, WA 98466-4237
- **Mailing address phone:** (253) 564-9633

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 122300000X | Dentist | DE00005432 | WA | Yes |

## Other

- **Enumeration date:** 08/24/2016
- **Last updated:** 08/24/2016