Individual provider · Type 1 NPI

Marco Oktoviator Waworuntu

Dentist · Tacoma, WA

NPI number 1235839259 Active

Practice location

5003 Tacoma Mall Blvd Ste 103
Tacoma, WA 98409-7120

Mailing address

5003 Tacoma Mall Blvd
Tacoma, WA 98409-7120

Other practice locations

  • 11201 88th Ave E Ste 110, Puyallup, WA 98373-3802 · (253) 848-2988
  • 18710 Meridian E Ste 216, Puyallup, WA 98375-2231 · (253) 321-1198

Specialties and licenses

TaxonomyCodeLicense
Dentist Primary 122300000X61565869 (WA)

Dentist: A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requiremen…

3 other providers at this address

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About NPI 1235839259

Marco Oktoviator Waworuntu's National Provider Identifier is 1235839259, issued on Mar 8, 2023. The primary taxonomy on file is Dentist (122300000X), and the practice location is in Tacoma, WA. The record was last updated on Aug 14, 2024.