Individual
TANAYA KUMAR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
4901 POINT FOSDICK DR. NW STREET 300, GIG HARBOR, WA 98335
(313) 494-6646
Mailing address
2712, 174 AVE NE., REDMOND, WA 98052
(832) 853-9452
Taxonomy
Speciality
Code
Description
License number
State
1223E0200X
Endodontics
Primary
DE60730175
WA
Other
Enumeration date
12/08/2016
Last updated
06/05/2018
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