Organization
PIERCE COLLEGE
Active
Other names
Pierce College Dental Hygiene Department
Organization subpart
No
Provider details
NPI number
Authorized official
JOANN E WISZMANN CPA (VICE PRESIDENT ADMINISTRATIVE SERVI)
(253) 964-6506
Entity
Organization
Contact information
Practice address
9401 FARWEST DRIVE SW, LAKEWOOD, WA 98498-1999
(253) 964-6694
(253) 964-6313
Mailing address
9401 FARWEST DRIVE SW, LAKEWOOD, WA 98498-1999
(253) 964-6694
(253) 964-6313
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
—
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
5001565
—
WA
Enumeration date
06/06/2007
Last updated
08/22/2020
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