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Organization

COMMUNITY HEALTH CARE

Active
Other names
Puyallup Dental
Organization subpart
No

Provider details

NPI number
Authorized official
DAVID FLENTGE (PRESIDENT & CEO)
(253) 597-4550
Entity
Organization

Contact information

Practice address
201 W MAIN, PUYALLUP, WA 98371-5327
(253) 722-2161
Mailing address
1148 BROADWAY STE 100, TACOMA, WA 98402-3518
(253) 597-4550

Taxonomy

Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary

Other

Enumeration date
02/23/2023
Last updated
02/23/2023
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