Individual
DR. JOSE LUIS CORDOBA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
1200 12TH AVE S STE 401, SEATTLE, WA 98144-2730
(206) 548-5850
Mailing address
1200 12TH AVE S STE 901, SEATTLE, WA 98144-2712
(206) 548-3114
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
DE61321055
WA
1223G0001X
General Practice Dentistry
DE61321055
WA
Other
Enumeration date
06/26/2022
Last updated
10/16/2025
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