Individual
DR. TRINA MARIE BRUCHAL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DMD
Contact information
Practice address
12900 NE 180TH ST STE 215, BOTHELL, WA 98011-5773
(425) 939-8428
(425) 939-8418
Mailing address
12900 NE 180TH ST STE 215, BOTHELL, WA 98011-5773
(425) 939-8428
(425) 939-8418
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
DE00010886
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1023208501
—
WA
Enumeration date
07/31/2007
Last updated
07/26/2022
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