Organization
DONALD C PARADISE DDS PS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DONALD CHARLES PARADISE DDS (OWNER DENTIST)
(253) 582-1570
Entity
Organization
Contact information
Practice address
9618 59TH AVE SW, TACOMA, WA 98498
(253) 582-1570
(253) 582-2323
Mailing address
9618 59TH AVE SW, LAKE WOOD DENTAL BUILDING, TACOMA, WA 98498
(253) 582-1570
(253) 582-2323
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
3596
WA
Other
Enumeration date
08/30/2006
Last updated
08/22/2020
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