Provider Demographics
NPI:1316374788
Name:KORKMAZ BAYIR, ARZU
Entity Type:Individual
Prefix:
First Name:ARZU
Middle Name:
Last Name:KORKMAZ BAYIR
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:ARZU
Other - Middle Name:
Other - Last Name:KORKMAZ
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:4545 S UNION AVE STE 100
Mailing Address - Street 2:
Mailing Address - City:TACOMA
Mailing Address - State:WA
Mailing Address - Zip Code:98409-4532
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:4545 S UNION AVE STE 100
Practice Address - Street 2:
Practice Address - City:TACOMA
Practice Address - State:WA
Practice Address - Zip Code:98409-4532
Practice Address - Country:US
Practice Address - Phone:253-475-7500
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2013-10-01
Last Update Date:2013-10-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WADE603332581223P0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223P0300XDental ProvidersDentistPeriodontics