Individual
HENRY SURBECK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
2315 SW 320TH ST, FEDERAL WAY, WA 98023-2570
(253) 838-9314
Mailing address
2208 ALDER ST NE, TACOMA, WA 98422-1003
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
3503
WA
Other
Enumeration date
05/23/2007
Last updated
07/08/2007
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