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ISABEL DEJESUS CUTINO

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
DDS

Contact information

Practice address
7803 NE FOURTH PLN RD, VANCOUVER, WA 98662-7294
(360) 768-9030
(360) 768-9031
Mailing address
PO BOX 34703, SEATTLE, WA 98124-1703

Taxonomy

Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
DE60826218
WA
1223G0001X
General Practice Dentistry
DE60826218
WA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
2096425
WA
Enumeration date
02/13/2018
Last updated
06/24/2024
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