# TRINA BRUCHAL, DMD, PLLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Bruchal Orthodontics
- **Organization subpart:** No

## Provider details

- **NPI number:** 1033411053
- **Authorized official:** DR. TRINA MARIE BRUCHAL DMD (OWNER/ORTHODONTIST)
- **Authorized official phone:** (425) 939-8428

## Contact information

- **Practice address:** 12900 NE 180TH ST STE 215, BOTHELL, WA 98011-5773
- **Practice address phone:** (425) 939-8428
- **Practice address fax:** (425) 939-8418
- **Mailing address:** 12900 NE 180TH ST STE 215, BOTHELL, WA 98011-5773
- **Mailing address phone:** (425) 939-8428
- **Mailing address fax:** (425) 939-8418

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QD0000X | Dental Clinic/Center | DE00010886 | WA | Yes |

## Other

- **Enumeration date:** 11/23/2010
- **Last updated:** 12/11/2012