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Individual

MR. JOSE EDDIE BERLANGA JR.

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man

Contact information

Practice address
601 N PUGET SOUND AVE, TACOMA, WA 98406-5425
(253) 535-4011
(253) 507-7346
Mailing address
601 N PUGET SOUND AVE, TACOMA, WA 98406-5425
(253) 535-4011
(253) 507-7346

Taxonomy

Speciality
Code
Description
License number
State
122400000X
Denturist
Primary
DN00000135
WA

Other

Enumeration date
09/29/2016
Last updated
09/29/2016
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