Organization
TRINA BRUCHAL, DMD, PLLC
Active
Other names
Bruchal Orthodontics
Organization subpart
No
Provider details
NPI number
Authorized official
DR. TRINA MARIE BRUCHAL DMD (OWNER/ORTHODONTIST)
(425) 939-8428
Entity
Organization
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
261QD0000X
Dental Clinic/Center
Primary
DE00010886
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1023208501
—
WA
Enumeration date
11/23/2010
Last updated
12/11/2012
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