Organization
NICHOLAS RAKLIOS, DDS, PLLC
Active
Other names
Pristera Orthodontics
Organization subpart
No
Provider details
NPI number
Authorized official
CASSANDRA WIETH (PAYOR RELATIONS MANAGER)
(623) 267-8121
Entity
Organization
Contact information
Practice address
350 S 38TH CT STE 215, RENTON, WA 98055-5777
(208) 918-8075
Mailing address
350 S 38TH CT STE 215, RENTON, WA 98055-5777
(208) 918-8075
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
—
—
Other
Enumeration date
06/14/2021
Last updated
05/09/2024
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