Organization
PLA & WATTS DDS MSD PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. LOUBNA PLA DDS, MSD (OWNER)
(253) 770-1500
Entity
Organization
Contact information
Practice address
819 39TH AVE SW STE B, PUYALLUP, WA 98373-3306
(253) 770-1500
(253) 770-1507
Mailing address
819 39TH AVE SW STE B, PUYALLUP, WA 98373-3306
(253) 770-1500
(253) 770-1507
Taxonomy
Speciality
Code
Description
License number
State
1223E0200X
Endodontics
Primary
60024673
WA
Other
Enumeration date
09/01/2016
Last updated
09/01/2016
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