Individual
AISHWARYA VIJAY PATIL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
12911 120TH AVE NE STE F200, KIRKLAND, WA 98034-3026
(425) 821-9111
Mailing address
13625 NE 133RD PL, KIRKLAND, WA 98034-3306
(562) 881-3721
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
60977967
WA
Other
Enumeration date
11/05/2019
Last updated
01/31/2024
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