Individual
DR. JORGE I PERALTA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
15507 2ND AVE SW, BURIEN, WA 98166-2540
(206) 244-7800
(206) 244-0566
Mailing address
15507 2ND AVE SW, BURIEN, WA 98166-2540
(206) 244-7800
(206) 244-0566
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
60002899
WA
Other
Enumeration date
06/01/2007
Last updated
06/04/2009
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