Organization
THOMAS HENRY DDS PS DBA CANYON ORTHODONTICS
Active
Organization
THOMAS HENRY DDS PS DBA CANYON ORTHODONTICS
Active
Other names
Canyon Orthodontics
Organization subpart
No
Provider details
NPI number
Authorized official
DR. THOMAS HENRY DDS (OWNER/DENTIST)
(253) 256-4000
Entity
Organization
Contact information
Practice address
5620 112TH ST E, SUITE 255, PUYALLUP, WA 98373-3206
(253) 256-4000
(253) 770-9638
Mailing address
5620 112TH ST E, SUITE 255, PUYALLUP, WA 98373-3206
(253) 256-4000
(253) 770-9638
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
5432
WA
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
10731
WA
Other
Enumeration date
06/08/2015
Last updated
06/08/2015
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