Individual
ANTHONY BOOKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RDH, DA
Contact information
Practice address
6137 S CUSHMAN AVE, TACOMA, WA 98408-2352
(561) 308-6619
Mailing address
6137 S CUSHMAN AVE, TACOMA, WA 98408-2352
(561) 308-6619
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
1282
MT
124Q00000X
Dental Hygienist
DH60284757
WA
126800000X
Dental Assistant
D160057846
WA
225700000X
Massage Therapist
Primary
MA60802924
WA
Other
Enumeration date
08/12/2017
Last updated
04/25/2019
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