NPI 1003237538

A New Image Denture Clinic

Organisation Denturist Puyallup, WA

Practice location

Address: 2811 E Main, Puyallup, WA 98372-3167
Phone: (253) 770-7707
Fax: (253) 770-8784

Authorised official

Name: Peter Nabegh Ghattas
Title: Denturist
Phone: (253) 770-7707

Registered specialties

Denturist Primary

Dental Providers Taxonomy 122400000X Licence DN00000199 (WA)

Other Denturist providers in Washington →

Registry record

NPI: 1003237538
Entity type: Organization
NPI issued: 31 Dec 2013
Record last updated: 31 Dec 2013

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.