| David A Cotant Dds Ps | |
|
9101 Bridgeport Way Sw Bldg B2 Lakewood WA 98499-2419 | |
| (253) 584-0858 | |
| (253) 584-1446 |
| Full Name | David A Cotant Dds Ps |
|---|---|
| Speciality | Dentist - Oral And Maxillofacial Surgery |
| Location | 9101 Bridgeport Way Sw, Lakewood, Washington |
| Authorized Official Name and Position | David A Cotant (OWNER PRESIDENT) |
| Authorized Official Contact | 2535840858 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| David A Cotant Dds Ps 9101 Bridgeport Way Sw Bldg B2 Lakewood WA 98499-2419 Ph: (253) 584-0858 | David A Cotant Dds Ps 9101 Bridgeport Way Sw Bldg B2 Lakewood WA 98499-2419 Ph: (253) 584-0858 |
| NPI Number | 1609900638 |
|---|---|
| Provider Enumeration Date | 03/14/2007 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1609900638 | NPI | - | NPPES |
| 5355307 | Medicaid | WA | |
| CO5448 | Other | WA | REGENCE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223S0112X | Dentist - Oral And Maxillofacial Surgery | DE00003794 (Washington) | Primary |
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