Provider Demographics
NPI:1538918552
Name:AARIKA D ANDERSON ELTER PLLC
Entity type:Organization
Organization Name:AARIKA D ANDERSON ELTER PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PEDIATRIC DENTIST/OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:AARIKA
Authorized Official - Middle Name:D
Authorized Official - Last Name:ANDERSON ELTER
Authorized Official - Suffix:
Authorized Official - Credentials:DMD
Authorized Official - Phone:253-238-1402
Mailing Address - Street 1:2215 N 30TH ST STE 301
Mailing Address - Street 2:
Mailing Address - City:TACOMA
Mailing Address - State:WA
Mailing Address - Zip Code:98403-3350
Mailing Address - Country:US
Mailing Address - Phone:253-238-1402
Mailing Address - Fax:
Practice Address - Street 1:2215 N 30TH ST STE 301
Practice Address - Street 2:
Practice Address - City:TACOMA
Practice Address - State:WA
Practice Address - Zip Code:98403-3350
Practice Address - Country:US
Practice Address - Phone:253-238-1402
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-05-13
Last Update Date:2024-05-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QD0000XAmbulatory Health Care FacilitiesClinic/CenterDental
Provider Identifiers
StateIdentifier IDID TypeIssuer
WA1396976239Medicaid
CA1013107937Medicaid