Individual
JACQUELINE DE LEON-ESTES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DMD
Contact information
Practice address
12121 HARBOUR REACH DR, SUITE 210, MUKILTEO, WA 98275-5314
(425) 348-5060
(425) 493-8712
Mailing address
12121 HARBOUR REACH DR, SUITE 210, MUKILTEO, WA 98275-5314
(425) 348-5060
(425) 493-8712
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
DE00009255
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1542904
UNITED CONCORDIA
—
Enumeration date
07/22/2006
Last updated
07/08/2007
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