| Doctor Name: | PETER NABEGH N GHATTAS |
| NPI Number: | 1306970801 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | D.P.D |
| License Number: | DN00000199 |
| Business Practice Address: | 2811 E Main Puyallup, WA - 983723167 |
| Business Phone Number: | 2537707707 |
| Business Fax Number: | 2537708784 |
| Mailing Address: | 2811 E Main, PUYALLUP |
| State: | WA |
| Postal Code: | 983723167 |
| Phone Number: | 2537707707 |
| Fax Number: | 2537708784 |
| NPI Enumeration Date: | 03/15/2007 |
| NPI Last Update Date: | 07/08/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 122400000X |
| License Number: | DN00000199 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | WA |
| Taxonomy Type: | Dental Providers |
| Taxonomy Classification: | Denturist |
| Taxonomy Specialization: | |
| Taxonomy Definition: | |