Organization
PATRA ALATSIS DMD MS PS
Active
Organization
PATRA ALATSIS DMD MS PS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PATRA V ALATSIS DMD, MS (PRESIDENT)
(253) 851-9473
Entity
Organization
Contact information
Practice address
4301 S PINE ST STE 231, TACOMA, WA 98409-7205
(253) 474-9473
(253) 474-6457
Mailing address
4301 S PINE ST STE 231, TACOMA, WA 98409-7205
(253) 474-9473
(253) 474-6457
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
DE 60523093
WA
Other
Enumeration date
12/23/2015
Last updated
12/23/2015
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