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Individual

SUSHMA ACHARYA SUBEDI

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
2321 S MERIDIAN, PUYALLUP, WA 98373-1554
(253) 845-7645
Mailing address
1592 ESTATE PL, FIRCREST, WA 98466-7916

Taxonomy

Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DE60990591
WA

Other

Enumeration date
06/15/2018
Last updated
10/20/2020
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