Individual
DR. MANUEL J LA ROSA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
1628 S MILDRED ST, SUITE 210, TACOMA, WA 98465-1627
(253) 564-1000
(253) 564-0102
Mailing address
1628 S MILDRED ST, SUITE 210, TACOMA, WA 98465-1627
(253) 564-1000
(253) 564-0102
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
DE00008413
WA
Other
Enumeration date
02/07/2007
Last updated
05/09/2016
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