Individual
CYNTHIA X ALEGRE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
15301 MAPLE VALLEY HWY STE 100, RENTON, WA 98058-8128
(425) 523-4179
(206) 764-0489
Mailing address
15301 MAPLE VALLEY HWY STE 100, RENTON, WA 98058-8128
(425) 523-4179
(206) 764-0489
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
DE00010253
WA
1223P0221X
Pediatric Dentistry
Primary
DE00010253
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0202979
STATE LABOR & INDUSTRIES
WA
01
—
1021AL
REGENCE BLUE SHIELD
WA
05
—
5049424
—
WA
Enumeration date
10/27/2006
Last updated
03/01/2018
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