# BELEZA PC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Northwest Head and Neck Surgery
- **Organization subpart:** No

## Provider details

- **NPI number:** 1962430637
- **Authorized official:** BIANCA CANDA (PRACTICE ADMINISTRATOR)
- **Authorized official phone:** (425) 227-4000

## Contact information

- **Practice address:** 1412 SW 43RD ST, \#110, RENTON, WA 98057-4803
- **Practice address phone:** (425) 227-4000
- **Mailing address:** 1412 SW 43RD ST, \#110, RENTON, WA 98057-4803
- **Mailing address phone:** (425) 227-4000

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207YX0905X | Otolaryngology/Facial Plastic Surgery Physician | — | NULL | Yes |
| 207YX0905X | Otolaryngology/Facial Plastic Surgery Physician | — | — | Yes |

## Other

- **Enumeration date:** 06/29/2006
- **Last updated:** 01/31/2008
