Organization · Type 2 NPI

Manuel la Rosa DDS PS

Dental Clinic/Center · Tacoma, WA

NPI number 1861604415 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
Dental Clinic/Center Primary 261QD0000XDE8413 (WA)

Dental Clinic/Center: Definition to come...

16 other providers at this address

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About NPI 1861604415

Manuel la Rosa DDS PS's National Provider Identifier is 1861604415, issued on May 4, 2007. The primary taxonomy on file is Dental Clinic/Center (261QD0000X), and the practice location is in Tacoma, WA. The record was last updated on Aug 22, 2020.