Individual provider · Type 1 NPI

Manuel J. La Rosa, DDS

Oral and Maxillofacial Surgery (Dentist) · Tacoma, WA

NPI number 1669512661 Active

Practice location

1628 S Mildred St, Suite 210
Tacoma, WA 98465-1627

Call (253) 564-1000 Map

Fax (253) 564-0102

Specialties and licenses

TaxonomyCodeLicense
Oral and Maxillofacial Surgery (Dentist) Primary 1223S0112XDE00008413 (WA)

Oral and Maxillofacial Surgery (Dentist): The specialty of dentistry which includes the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region.

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About NPI 1669512661

Manuel J. La Rosa, DDS's National Provider Identifier is 1669512661, issued on Feb 7, 2007. The primary taxonomy on file is Oral and Maxillofacial Surgery (Dentist) (1223S0112X), and the practice location is in Tacoma, WA. The record was last updated on May 9, 2016.