NPI 1538451067

Jaclyn Anderson

Practitioner Dental Assistant Puyallup, WA

Practice location

Address: 11012 Canyon Rd E Suite #8 Pmb #761, Puyallup, WA 98373-4200
Phone: (253) 279-2721

Registered specialties

Dental Assistant Primary

Dental Providers Taxonomy 126800000X Licence D1 60133612 (WA)

Other Dental Assistant providers in Washington →

Registry record

NPI: 1538451067
Entity type: Individual
Sex (as registered): Female
NPI issued: 2 May 2011
Record last updated: 2 May 2011

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.