Individual
MANUEL VIDRIOS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
1959 NE PACIFIC ST # B-307, SEATTLE, WA 98195-0001
(206) 616-6996
Mailing address
601 N MAIN ST, ELLENSBURG, WA 98926-6304
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DE61559247
WA
Other
Enumeration date
03/11/2024
Last updated
08/14/2024
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