Individual
MERISSA ANN DELAZERDA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
10521 MERIDIAN AVE N, SEATTLE, WA 98133-9509
(206) 296-4990
(206) 517-5578
Mailing address
1200 12TH AVE S STE 901, SEATTLE, WA 98144-2712
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
00206067
CO
122300000X
Dentist
Primary
70116144
WA
1223G0001X
General Practice Dentistry
Primary
DE70116144
WA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
03/06/2024
Last updated
07/13/2026
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