SearchWashington122300000X

Brian Ta, DMD

NPI 1750948790 · on the registry since 2019

Practice

Address
510 Washington Ave N
Kent, WA 98032
Phone
(919) 740-7012
Organisation at this address
Willamette Dental Group, P.C.
Inferred from a shared address, not stated in the registry.
Clinicians at this address
6

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
2019-08-06

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