Organization
DAVID A COTANT DDS PS
Active
Other names
Oral and Maxillofacial Surgery of Lakewood
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DAVID A COTANT DDS (OWNER PRESIDENT)
(253) 584-0858
Entity
Organization
Contact information
Practice address
9101 BRIDGEPORT WAY SW, BLDG B2, LAKEWOOD, WA 98499-2419
(253) 584-0858
(253) 584-1446
Mailing address
9101 BRIDGEPORT WAY SW, BLDG B2, LAKEWOOD, WA 98499-2419
(253) 584-0858
(253) 584-1446
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
DE00003794
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
5355307
—
WA
01
—
CO5448
REGENCE
WA
Enumeration date
03/14/2007
Last updated
08/22/2020
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