Individual
MARIA VERONICA VALLEJOS CASTILLO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
2911 2ND AVE STE 106, SEATTLE, WA 98121-5120
(786) 510-5254
Mailing address
6316 26TH AVE NW, SEATTLE, WA 98107-2427
(786) 510-5254
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
61145500
WA
390200000X
Student in an Organized Health Care Education/Training Program
—
ZZ
Other
Enumeration date
04/30/2015
Last updated
09/20/2021
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