Individual
DR. RUSSELL F PARAVECCHIO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
705 136TH PL NE, BELLEVUE, WA 98005-4722
(425) 644-6096
(425) 644-8115
Mailing address
705 136TH PL NE, BELLEVUE, WA 98005-4712
(425) 644-6096
(425) 644-8115
Taxonomy
Speciality
Code
Description
License number
State
1223D0004X
Dental Anesthesiology
Primary
DE00004661
WA
1223P0221X
Pediatric Dentistry
DE00004661
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
5047774
—
WA
Enumeration date
01/05/2006
Last updated
12/13/2021
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