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Individual

RUBY AZCUETA

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
5425 RAINIER AVE S, SEATTLE, WA 98118-2455
(206) 725-3667
(206) 725-3838
Mailing address
3120 SE 17TH CT, RENTON, WA 98058-3804
(206) 919-5938
(206) 725-3838

Taxonomy

Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
DH00005699
WA

Other

Enumeration date
05/03/2007
Last updated
07/08/2007
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