Provider Demographics
NPI:1295282747
Name:PLA & WATTS DDS MSD PLLC
Entity type:Organization
Organization Name:PLA & WATTS DDS MSD PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:LOUBNA
Authorized Official - Middle Name:
Authorized Official - Last Name:PLA
Authorized Official - Suffix:
Authorized Official - Credentials:DDS, MSD
Authorized Official - Phone:253-770-1500
Mailing Address - Street 1:819 39TH AVE SW STE B
Mailing Address - Street 2:
Mailing Address - City:PUYALLUP
Mailing Address - State:WA
Mailing Address - Zip Code:98373-3306
Mailing Address - Country:US
Mailing Address - Phone:253-770-1500
Mailing Address - Fax:253-770-1507
Practice Address - Street 1:819 39TH AVE SW STE B
Practice Address - Street 2:
Practice Address - City:PUYALLUP
Practice Address - State:WA
Practice Address - Zip Code:98373-3306
Practice Address - Country:US
Practice Address - Phone:253-770-1500
Practice Address - Fax:253-770-1507
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-09-01
Last Update Date:2016-09-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WA600246731223E0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223E0200XDental ProvidersDentistEndodonticsGroup - Single Specialty