Individual
TANIA LILIANA MUNOZ GUTIERREZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
1959 NE PACIFIC STREET, ROOM B-440, SEATTLE, WA 98195-3635
(206) 543-0903
Mailing address
1959 NE PACIFIC STREET, BOX 356365, ROOM B-440, SEATTLE, WA 98195-3635
(206) 543-0903
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
DE61568005
WA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
03/26/2024
Last updated
10/06/2024
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