Boss White

NPI 1780384602 · on the registry since 2023

Practice

Address: 9125 Bridgeport Way Sw Ste 102
Lakewood, WA 98499
Phone: (253) 215-2836
Fax: (253) 366-7422
Organisation at this address: Drew Dentistry
Jun Carrington Dmd Pllc
Mulhern Counseling, Pllc
Inferred from a shared address, not stated in the registry.
Clinicians at this address: 13

Registry record

Primary taxonomy: 101YP2500X
101YP2500X
Licence states on file: WA
From the registry's licence fields, which are often incomplete.
Sex: Male
Record last updated: 2024-10-21

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