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Organization

COLIN P. DEL ROSARIO, DDS, PS

Active
Organization subpart
No

Provider details

NPI number
Authorized official
COLIN P DEL ROSARIO DDS (OWNER/PRESIDENT)
(425) 739-9093
Entity
Organization

Contact information

Practice address
11250 KIRKLAND WAY, SUITE 102, KIRKLAND, WA 98033-3421
(425) 739-9093
Mailing address
11250 KIRKLAND WAY, SUITE 102, KIRKLAND, WA 98033-3421
(425) 739-9093

Taxonomy

Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
DE00009384
WA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
5043096
WA
Enumeration date
04/18/2008
Last updated
04/18/2008
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