NPI 1447602107

Melchora Bonilla Barayuga

Practitioner Dental Assistant Tacoma, WA

Practice location

Address: Madigan Annex 2nd Floor Bldg 9900, Tacoma, WA 98431-0001
Phone: (253) 967-1213
Fax: (253) 967-7216

Registered specialties

Dental Assistant Primary

Dental Providers Taxonomy 126800000X

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Registry record

NPI: 1447602107
Entity type: Individual
Sex (as registered): Female
NPI issued: 6 Jul 2016
Record last updated: 6 Jul 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.