Michael T Pitzen DDS

NPI 1487802344 - Dentist - 122300000X

NPI Details
NPI 1487802344
Gender Male
Enumeration Date 09/04/2008
Last Updated 11/15/2012
Entity Type Individual
Active Over 8 years ago
Practice Location
4303 BRIDGEPORT WAY W
UNIVERSITY PLACE WA, 98466-4334, US
Phone (253) 564-5545
Fax (253) 564-5589
Business Location
4303 BRIDGEPORT WAY W
UNIVERSITY PLACE WA, 98466-4334, US
Phone (253) 564-5545
Fax (253) 564-5589
Toxanomy
Taxonomy Code 122300000X
License State Michigan
License Number 9076
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According to our database, Dr. Michael T Pitzen DDS NPI is 1487802344, taxonomy code is 122300000X and license number is 9076, license state is located at Michigan. Michael T Pitzen DDS physically located at 4303 Bridgeport Way W, University Place WA, 98466-4334. NPI Number Michael T Pitzen DDS has the Individual type.

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1487802344 NPI number is provided on an as is basis without warranty of any kind. 1487802344 is maintained by the National Plan & Provider Enumeration System. The contents of Michael T Pitzen DDS are for informational purposes only.