| Organization Name: | JAMES P. GAGLIARDI, DDS, PS |
| NPI Number: | 1316191885 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | JAMES PATRICK GAGLIARDI (OWNER) |
| Mailing Address: | 1033 Regents Blvd Suite 201 Fircrest |
| State: | WA US |
| Postal Code: | 984666045 |
| Phone Number: | 2535642570 |
| Fax Number: | 2535642652 |
| NPI Enumeration Date: | 11/11/2008 |
| NPI Last Update Date: | 05/13/2013 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 261QD0000X |
| License Number: | DE00005122 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | WA |
| Taxonomy Type: | Ambulatory Health Care Facilities |
| Taxonomy Classification: | Clinic/Center |
| Taxonomy Specialization: | Dental |
| Taxonomy Definition: | |