Organization
RICHARD A. CRINZI, DDS, MS, PS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RICHARD ALEX CRINZI DDS (OWNER)
(425) 881-3255
Entity
Organization
Contact information
Practice address
15955 NE 85TH ST, SUITE #104, REDMOND, WA 98052-3550
(425) 881-3255
(425) 885-1366
Mailing address
15955 NE 85TH ST, SUITE 104, REDMOND, WA 98052-3550
(425) 881-3255
(425) 885-1366
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
4194
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
G 000101106
UPIN T-01572
WA
Enumeration date
01/13/2012
Last updated
01/13/2012
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