Individual
MRS. SARA DIANE DENTY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
1201 PACIFIC AVE STE 400, TACOMA, WA 98402-4381
(253) 203-3131
(253) 214-0061
Mailing address
1201 PACIFIC AVE STE 400, TACOMA, WA 98402-4381
(253) 203-3131
(253) 214-0061
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
60903936
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2115824
—
WA
Enumeration date
11/16/2018
Last updated
03/02/2021
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