Individual
TORIA L KOUTRAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DMD
Contact information
Practice address
9119 MIL PARK AVE, TACOMA, WA 98433
(603) 762-3810
Mailing address
9119 MIL PARK AVE, JOINT BASE LEWIS-MCCHORD, TACOMA, WA 98433
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
019.032182
IL
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
05/15/2019
Last updated
09/10/2021
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