Individual
ALTHEA ANN ACOSTA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
703 LILLY RD NE STE 201, OLYMPIA, WA 98506-5256
(360) 459-3400
(360) 459-9700
Mailing address
1705 DOCK ST UNIT 210, TACOMA, WA 98402-3220
(219) 508-1953
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
DE60384466
WA
Other
Enumeration date
08/07/2013
Last updated
08/02/2021
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