Individual
COLIN P DEL ROSARIO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
11250 KIRKLAND WAY, SUITE 102, KIRKLAND, WA 98033-3421
(425) 739-9093
(425) 822-3677
Mailing address
11250 KIRKLAND WAY, SUITE 102, KIRKLAND, WA 98033-3421
(425) 739-9093
(425) 822-3677
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DE00009384
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000187119
DENTAL BENEFIT PROVIDERS
—
01
—
01482576
UNITED CONCORDIA
—
05
—
5043096
—
WA
Enumeration date
11/03/2005
Last updated
04/18/2008
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