Individual
RENEE TAI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.D.S.
Contact information
Practice address
1417 E FRONT ST, PORT ANGELES, WA 98362-4618
(360) 457-5437
Mailing address
1520 WEATHERVANE DR, FIRCREST, WA 98466-5715
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
DE60487996
WA
Other
Enumeration date
06/14/2016
Last updated
03/25/2024
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