Individual
NICHOLAS PARQUE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
4915 25TH AVE NE, SEATLLE, WA 98105
(206) 524-1600
Mailing address
1200 12TH AVE S STE 901, SEATTLE, WA 98144-2712
(206) 548-3114
(206) 262-0859
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
60650656
WA
Other
Enumeration date
05/17/2016
Last updated
10/16/2023
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