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Organization

DENTURE SERVICES OF BURIEN

Active
Organization subpart
No

Provider details

NPI number
Authorized official
JAVIER D DELGADO (DENTURIST)
(206) 244-0956
Entity
Organization

Contact information

Practice address
14400 AMBAUM BLVD SW STE Q, BURIEN, WA 98166-1447
(206) 244-0956
Mailing address
14400 AMBAUM BLVD SW STE Q, DENTURE SERVICES OF BURIEN, BURIEN, WA 98166-1447

Taxonomy

Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
122400000X
Denturist
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
5040084
WA
Enumeration date
08/04/2008
Last updated
08/04/2008
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