Dr. Anna Requa
Pediatric Dentist
24837 104th Ave Se Ste 200
Kent
, Washington 98030-6800
Dr. Anna Requa
Pediatric Dentist
24837 104th Ave Se Ste 200
Kent
, Washington 98030-6800
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About
Features
Specialties
- Pediatric Dentist
Languages spoken
- English
Location
First Address
- Dr. Anna Requa
- 24837 104th Ave Se Ste 200
- Kent, WA
- Zip : 98030-6800
- Phone :
Second Address
- Dr. Anna Requa
- 24837 104th Ave Se Ste 200
- Kent, WA
- Zip : 98030-6800
- Phone : (253) 850-1234
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FAQs
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 1223P0221X | Pediatric Dentist | 60801018 | WA |
National Provider Identifier
| NPI | 1043620826 |
|---|---|
| Provider Name | Dr. Anna Requa |
| First Address | Kent, WA 98030-6800 |
| Second Address | Kent, WA 98030-6800 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | Yes |
| Is Organization Subpart | N/A |
| Enumeration Date | 02/05/2014 |
| Last Update Date | 12/12/2018 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.