NPI 1124577374

Jose Eddie Berlanga

Practitioner Denturist Tacoma, WA

Practice location

Address: 601 N Puget Sound Ave, Tacoma, WA 98406-5425
Phone: (253) 535-4011
Fax: (253) 507-7346

Registered specialties

Denturist Primary

Dental Providers Taxonomy 122400000X Licence DN00000135 (WA)

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Registry record

NPI: 1124577374
Entity type: Individual
Sex (as registered): Male
NPI issued: 29 Sep 2016
Record last updated: 29 Sep 2016

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.