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Individual

CHRISTIAN RENE ITURRIAGA

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
DPD

Taxonomy

Speciality
Code
Description
License number
State
122400000X
Denturist
Primary
DN00000423
WA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1091700
WA
05
5049226
WA
Enumeration date
06/10/2007
Last updated
07/28/2023
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