Organization
PATRA ALATSIS DMD MS PS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PATRA V ALATSIS DMD, MS (PRESIDENT)
(253) 851-9473
Entity
Organization
Contact information
Practice address
5334 OLYMPIC DR NW STE 201, GIG HARBOR, WA 98335-1722
(253) 851-9473
(253) 851-4062
Mailing address
5334 OLYMPIC DR NW STE 201, GIG HARBOR, WA 98335-1722
(253) 851-9473
(253) 851-4062
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
DE 60523093
WA
Other
Enumeration date
12/14/2015
Last updated
12/14/2015
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