Individual
DR. CYNTHIA LYNN KOUDELA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.D.S., M.S.D
Contact information
Practice address
11011 MERIDIAN AVE N, SUITE 104, SEATTLE, WA 98133-8967
(206) 365-0378
Mailing address
6950 NE CAMPUS WAY, HILLSBORO, OR 97124-5611
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
DE00006021
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0113407
—
MT
05
—
5048822
—
WA
05
—
807251600
—
ID
05
—
DD474WA
—
AK
Enumeration date
10/15/2006
Last updated
06/02/2015
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