NPI 1801307681

Bianca Gomez

Practitioner Dental Assistant Jblm, WA

Practice location

Address: Bldg 9900 Lincoln Street, Jblm, WA 98431
Phone: (253) 968-4079

Registered specialties

Dental Assistant Primary

Dental Providers Taxonomy 126800000X Licence D160036350 (WA)

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Registry record

NPI: 1801307681
Entity type: Individual
Sex (as registered): Female
NPI issued: 19 Oct 2017
Record last updated: 19 Oct 2017

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.