| Manuel La Rosa Dds Ps | |
|
1628 S Mildred St Suite 210 Tacoma WA 98465-1627 | |
| (253) 564-1000 | |
| (253) 564-0102 |
| Full Name | Manuel La Rosa Dds Ps |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 1628 S Mildred St, Tacoma, Washington |
| Authorized Official Name and Position | Manuel J La Rosa-craig (PRESIDENT) |
| Authorized Official Contact | 2535641000 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Manuel La Rosa Dds Ps 1628 S Mildred St Suite 210 Tacoma WA 98465-1627 Ph: (253) 564-1000 | Manuel La Rosa Dds Ps 1628 S Mildred St Suite 210 Tacoma WA 98465-1627 Ph: (253) 564-1000 |
| NPI Number | 1861604415 |
|---|---|
| Provider Enumeration Date | 05/04/2007 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1861604415 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | DE8413 (Washington) | Primary |
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