Individual
DANIEL ANTONIO ZEVALLOS CARRILLO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
444 RAMSAY WAY STE 109, KENT, WA 98032-4536
(253) 638-6046
(253) 520-4009
Mailing address
3915 2ND AVE NE APT 105, SEATTLE, WA 98105-6865
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
60861708
WA
Other
Enumeration date
07/16/2018
Last updated
09/19/2020
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