Organization
DENTURE CLINIC, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JORGE ABEL; VIZCARRA L.D. (DENTURIST/ PRESIDENT OF CORPORATION)
(206) 365-5060
Entity
Organization
Contact information
Practice address
12733 LAKE CITY WAY N.E. AVE., SUITE 301, SEATTLE, WA 98125
(206) 365-5060
Mailing address
12733 LAKE CITY WAY N.E. AVE., SUITE 301, SEATTLE, WA 98125
(206) 365-5060
Taxonomy
Speciality
Code
Description
License number
State
122400000X
Denturist
Primary
—
—
Other
Enumeration date
09/25/2008
Last updated
09/25/2008
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