person
Dr. Anna Requa, DDS
Pediatric Dentist in Kent, Washington
NPI 1043620826

Anna Requa is a Pediatric Dentist based in Kent, WA and is specialized in Pediatric Dentistry. Anna Requa practices in Kent, WA and has the professional credentials of DDS. The NPI Number for Anna Requa is 1043620826 and holds a License No. 60801018 (Washington).

The current practice location address for Anna Requa is 24837 104Th Ave Se Ste 200, Kent, WA and can be reached out via phone at 253-850-1234. You can also correspond with Anna Requa through the mailing address at 24837 104TH AVE SE STE 200, KENT, WA - 98030-6800 (mailing address contact number: ).

Location: 24837 104Th Ave Se Ste 200, Kent, WA, 98030-6800
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Provider Profile Details
NPI Number
1043620826
Provider Name
Anna Requa
Credential
DDS
Provider Entity Type
Individual
Gender
Female
Address
24837 104Th Ave Se Ste 200, Kent, WA, 98030-6800
Phone Number
253-850-1234
Fax Number
Provider Enumeration Date
05/02/2014
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
24837 104Th Ave Se Ste 200
City
State
Zip
98030-6800
Phone Number
253-850-1234
Fax Number
person
Provider Business Mailing Address Details
Address
24837 104Th Ave Se Ste 200
City
State
Zip
98030-6800
Phone Number
253-850-1234
Fax Number
person
Provider's Taxonomy Details 1
Type
Dental Providers
Classification
Dentist
Speciality
Pediatric Dentistry
Taxonomy
License No.
60801018 (Washington)
Definition
An age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs.
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