Individual
DR. DAVID RICHARD HANNULA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
4146 6TH AVE, TACOMA, WA 98406-4013
(253) 759-5622
(253) 761-8441
Mailing address
4146 6TH AVE, TACOMA, WA 98406-4013
(253) 759-5622
(253) 761-8441
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
5429
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0017297
L & I
WA
01
—
5002902
DSHS
WA
Enumeration date
12/06/2005
Last updated
09/05/2019
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