Individual
JOAO VICENTE BARONI BARBIZAM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS, MSD
Contact information
Practice address
10025 19TH AVE SE, SUITE 202, EVERETT, WA 98208-4275
(425) 357-8747
Mailing address
5114 26TH AVE NE, SEATTLE, WA 98105-3102
(206) 913-3936
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
DE60363990
WA
Other
Enumeration date
10/11/2013
Last updated
10/11/2013
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