Individual
DIANA CELEMI CORTES CARRILLO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
9720 SANDIFUR PKWY APT 4, PASCO, WA 99301-9068
(509) 543-4948
Mailing address
9720 SANDIFUR PKWY APT 4, PASCO, WA 99301-9068
(509) 543-4948
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
DENT.DE.70016957
WA
Other
Enumeration date
08/26/2025
Last updated
08/26/2025
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