# RICHARD A. CRINZI, DDS, MS, PS

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1104197714
- **Authorized official:** DR. RICHARD ALEX CRINZI DDS (OWNER)
- **Authorized official phone:** (425) 881-3255

## Contact information

- **Practice address:** 15955 NE 85TH ST, SUITE \#104, REDMOND, WA 98052-3550
- **Practice address phone:** (425) 881-3255
- **Practice address fax:** (425) 885-1366
- **Mailing address:** 15955 NE 85TH ST, SUITE 104, REDMOND, WA 98052-3550
- **Mailing address phone:** (425) 881-3255
- **Mailing address fax:** (425) 885-1366

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QD0000X | Dental Clinic/Center | 4194 | WA | Yes |

## Other

- **Enumeration date:** 01/13/2012
- **Last updated:** 01/13/2012