Individual
MR. JUAN EDWARD BERLANGA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LD
Contact information
Practice address
654 N ROCHESTER ST, TACOMA, WA 98406-1724
(253) 777-8339
Mailing address
654 N ROCHESTER ST, TACOMA, WA 98406-1724
(253) 777-8339
Taxonomy
Speciality
Code
Description
License number
State
122400000X
Denturist
Primary
DN60041183
WA
Other
Enumeration date
01/09/2019
Last updated
01/10/2019
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