Individual
GHAYDAA LINJAWI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
3402 S 18TH ST, TACOMA, WA 98405
(305) 333-6453
Mailing address
9317 113TH ST E STE A, PUYALLUP, WA 98373-3876
(253) 848-7000
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
60662094
WA
1223P0221X
Pediatric Dentistry
Primary
60662094
WA
Other
Enumeration date
10/12/2017
Last updated
06/27/2018
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