Individual
MARIANA MUGUERZA QUIJANO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
9650 15TH AVE SW, SEATTLE, WA 98106
(206) 965-1000
Mailing address
PO BOX 34703, SEATTLE, WA 98124
(206) 764-0502
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
60638062
WA
Other
Enumeration date
07/01/2016
Last updated
07/01/2016
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