Individual
VITO JOSEPH TAMBURELLO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DA
Contact information
Practice address
733 4TH AVE NE APT 507, PACIFIC, WA 98047-1266
(253) 670-5010
Mailing address
733 4TH AVE NE APT 507, PACIFIC, WA 98047-1266
(253) 670-5010
Taxonomy
Speciality
Code
Description
License number
State
126800000X
Dental Assistant
Primary
D160643311
WA
Other
Enumeration date
03/12/2016
Last updated
03/12/2016
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