Manuel J La Rosa in Tacoma - Oral And Maxillofacial Surgery
Manuel J La Rosa - NPI 1669512661
Manuel J La Rosa is a Oral And Maxillofacial Surgery in Tacoma, Washington. Manuel J La Rosa practices all healthcare services and medical treatments related to Oral And Maxillofacial Surgery. The NPI Number for Manuel J La Rosa is 1669512661. The last update date is 2016-05-09.
Manuel J La Rosa's current location address is 1628 S Mildred St, Tacoma, Washington. You can contact this provider via phone number 2535641000 and fax number 2535640102. The mailing address for Manuel J La Rosa is 1628 S Mildred St, Tacoma, Washington. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Manuel J La Rosa |
|---|---|
| Address | 1628 S Mildred St, Tacoma, Washington |
| Phone Number | 2535641000 |
| Fax Number | 2535640102 |
| Sole Proprietor | Y |
| Credentials | DDS |
NPI Number Detail
| NPI Number | 1669512661 |
|---|---|
| Provider Enumeration Date | 2007-02-07 |
| Last Updated Date | 2016-05-09 |
Provider Mailing Address Detail
| Address | 1628 S Mildred St |
|---|---|
| City | Tacoma |
| State | Washington (WA) |
| Post Code | 984651627 |
| Phone Number | 2535641000 |
| Fax Number | 2535640102 |
Provider's Primary Taxonomy Detail
| Speciality | Oral And Maxillofacial Surgery |
|---|---|
| Taxonomy | 1223S0112X |
| Licence No | DE00008413 |
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Definition: 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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Post Comment/ Review Below
What is the unique provider identifier assigned to Manuel J La Rosa?
The Manuel J La Rosa has been issued the NPI (National Provider Identifier) 1669512661 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.
Could you share the physical location details of Manuel J La Rosa?
The Manuel J La Rosa is situated at 1628 S Mildred St, in the city of Tacoma, state of WA, with the zip code 984651627.
What is Manuel J La Rosa's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?
The specialized area of practice for Manuel J La Rosa is Oral And Maxillofacial Surgery, and the taxonomy code that categorizes this field of expertise is 1223S0112X.
On what date did the Manuel J La Rosa receive its 1669512661 assignment from the Centers for Medicare & Medicaid Services?
The Manuel J La Rosa was assigned its 1669512661 by the Centers for Medicare & Medicaid Services on 2007-02-07.
As of what date were the details pertaining to Manuel J La Rosa last refreshed?
The information related to the Manuel J La Rosa, including its address, specialty, and other relevant details, was last updated on 2016-05-09.
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