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Organization

ANZI DENTAL CENTER 1

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MS. ROSA MARIA CORTESI (OFFICE MANAHER(CORPORATE OFFICE))
(253) 671-9966
Entity
Organization

Contact information

Practice address
3711 PACIFIC AVE, STE 300, TACOMA, WA 98418
(253) 671-9966
(253) 471-3540
Mailing address
3711 PACIFIC AVE, STE 300, TACOMA, WA 98418
(253) 671-9966
(253) 471-3540

Taxonomy

Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
DE00008264
WA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
5036983
WA
Enumeration date
01/31/2007
Last updated
08/22/2020
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