Individual
DR. WILFREDO GARAY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
101 E 26TH ST, TACOMA, WA 98421-1108
(253) 597-4550
(253) 597-4556
Mailing address
101 E 26TH ST, TACOMA, WA 98421-1108
(253) 597-4550
(253) 597-4556
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
6369
OK
1223G0001X
General Practice Dentistry
DE00009714
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
5043443
—
WA
Enumeration date
08/05/2006
Last updated
09/07/2012
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