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Search › Washington › 101YA0400X

Malissa Kautz, CO61248684

NPI 1194595926 · on the registry since 2024

Practice

Address
4301 S Pine St Ste 92
Tacoma, WA 98409
Phone
(253) 507-5334
Fax
(253) 330-5182
Organisation at this address
Maxim
Scott R Drake Dds Ms Pc
Pnw Happy Healthy, Pllc
Patra Alatsis Dmd Ms Ps
Maxim Healthcare Services
Inferred from a shared address, not stated in the registry.
Clinicians at this address
155

Registry record

Primary taxonomy
101YA0400X
101YA0400X
Licence states on file
WA
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2024-01-03

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Washington