Individual
DAVID A COTANT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
9101 BRIDGEPORT WAY SW, SUITE B2, LAKEWOOD, WA 98499-2419
(253) 584-0858
(253) 584-1446
Mailing address
9101 BRIDGEPORT WAY SW, SUITE 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
—
5385307
—
WA
01
—
G8892465
MEDICARE MEMBER PTAN
WA
Enumeration date
03/14/2007
Last updated
09/29/2011
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