Individual
NICOLETTE ANN HECITA BULAON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DMD
Contact information
Practice address
16810 MERIDIAN E STE J107, PUYALLUP, WA 98375-9604
(253) 848-7777
Mailing address
23000 MILITARY RD S APT 3324, KENT, WA 98032-1949
(206) 201-4649
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
DE61449731
WA
1223G0001X
General Practice Dentistry
DE61449731
WA
Other
Enumeration date
07/26/2023
Last updated
05/18/2025
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