Individual
NICOLETTE CERISANO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.D.S.
Contact information
Practice address
12138 MUKILTEO SPEEDWAY # 301, MUKILTEO, WA 98275-5738
(425) 347-4141
Mailing address
12138 MUKILTEO SPEEDWAY # 301, MUKILTEO, WA 98275-5738
(425) 347-4141
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
DE60659495
WA
1223G0001X
General Practice Dentistry
DE60659495
WA
Other
Enumeration date
07/07/2016
Last updated
11/30/2023
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