Individual
IRMA TANCHOCO ALCANTARA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DENTURIST
Contact information
Practice address
7101 ML KING JR WAY SOUTH, SUITE 211, SEATTLE, WA 98118
(206) 722-8858
(206) 722-0992
Mailing address
7101 ML KING JR WAY SOUTH, SUITE 211, SEATTLE, WA 98118
(206) 722-8858
(206) 722-0992
Taxonomy
Speciality
Code
Description
License number
State
122400000X
Denturist
Primary
DN00000049
WA
Other
Enumeration date
07/10/2010
Last updated
07/10/2010
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