| Kent Nuttall Dmd Ps | |
|
722 12th St Se Auburn WA 98002-6708 | |
| (253) 939-0700 | |
| Not Available |
| Full Name | Kent Nuttall Dmd Ps |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 722 12th St Se, Auburn, Washington |
| Authorized Official Name and Position | Janna Collecchi (OFFICE MANAGER) |
| Authorized Official Contact | 2539390700 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Kent Nuttall Dmd Ps 722 12th St Se Auburn WA 98002-6708 Ph: (253) 939-0700 | Kent Nuttall Dmd Ps 722 12th St Se Auburn WA 98002-6708 Ph: (253) 939-0700 |
| NPI Number | 1942533351 |
|---|---|
| Provider Enumeration Date | 09/16/2009 |
| Last Update Date | 09/16/2009 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1942533351 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 7439 (Washington) | Primary |
| 1223P0221X | Dentist - Pediatric Dentistry | 10882 (Washington) | Secondary |
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