Individual
NICOLE THERESE REITZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
3819 NE 45TH ST, SEATTLE, WA 98105-5144
(206) 524-6116
Mailing address
3819 NE 45TH ST, SEATTLE, WA 98105-5144
(206) 524-6116
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
DE61414216
WA
Other
Enumeration date
03/30/2022
Last updated
07/13/2023
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