SearchWashington122300000X

Marco Waworuntu

NPI 1235839259 · on the registry since 2023

Practice

Address
5003 Tacoma Mall Blvd Ste 103
Tacoma, WA 98409
Phone
(253) 881-8780
Organisation at this address
Dong Wu Han Dmd, Pllc.
Eyes Rite Eyecare, Inc.
Dale L. Vanderschelden, Dds Chartered
Inferred from a shared address, not stated in the registry.
Clinicians at this address
3

Additional practice sites

  • 11201 88th Ave E Ste 110, Puyallup, WA
  • 18710 Meridian E Ste 216, Puyallup, WA

Registry record

Primary taxonomy
122300000X
122300000X
Licence states on file
WA
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2024-08-14

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