Individual
JOCELYN SABRINA VIVAS CASTILLO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1959 NE PACIFIC ST SEATTLE, SEATTLE, WA 98195-0001
(206) 685-2937
Mailing address
1401 168TH AVE NE, BELLEVUE, WA 98008-3033
(206) 619-1803
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
DE61353805
WA
1223X2210X
Orofacial Pain Dentistry
DE61353805
WA
Other
Enumeration date
10/05/2023
Last updated
10/05/2023
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