Organization
DENTAL SERVICES OF WASHINGTON, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BRUCE LAVERNE KIZAR DPD (PRESIDENT)
(253) 584-8840
Entity
Organization
Contact information
Practice address
10518 S TACOMA WAY STE B, TACOMA, WA 98499-5400
(253) 584-8840
(253) 584-8511
Mailing address
10518 S TACOMA WAY STE B, TACOMA, WA 98499-5400
(253) 584-8840
(253) 584-8511
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
—
—
122400000X
Denturist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
5042619
—
WA
Enumeration date
01/23/2007
Last updated
09/11/2025
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