Individual
DR. NICOLETTE ROSELI GERVASI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
35 148TH AVE SE STE 1, BELLEVUE, WA 98007-5166
(425) 746-1441
Mailing address
6355 137TH AVE NE APT 308, REDMOND, WA 98052-4573
(425) 281-2508
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
61465560
WA
Other
Enumeration date
07/14/2023
Last updated
07/14/2023
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