Individual
MS. HELENA STACEY SKOUNTRIANOS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DMD.,MS, PLLC
Contact information
Practice address
9317 113TH ST E, PUYALLUP, WA 98373-3876
(253) 845-6784
(253) 845-6787
Mailing address
9317 113TH ST E, PUYALLUP, WA 98373-3876
(253) 845-6784
(253) 845-6787
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
DE00010197
WA
Other
Enumeration date
03/08/2007
Last updated
07/08/2007
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