Manuel La Rosa DDS Ps
Manuel La Rosa DDS Ps is a Dental Clinic/Center in Tacoma, Washington. Licensed in Washington. Registered with an NPI since 2007.
- Licensed in
- WA
- In the registry since
- 2007
Practice location Address checks out
1628 S Mildred St Ste 210Tacoma, WA 98465-1627
Phone: (253) 564-1000
Fax: (253) 564-0102
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Specialties & licences
| Dental Clinic/Center (primary) | Taxonomy 261QD0000X · Licence DE8413 (WA) |
|---|
Record details
| NPI number | 1861604415 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Manuel La Rosa-Craig — President · (253) 564-1000 |
| Other names | Sound Oral And Maxillofacial Surgery |
| NPI enumerated | May 4, 2007 |
| Last updated in NPPES | August 22, 2020 |
| Mailing address | 1628 S Mildred St, Suite 210, Tacoma, WA 98465-1627 |
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