Organization
BELEZA PC
Active
Other names
Northwest Head and Neck Surgery
Organization subpart
No
Provider details
NPI number
Authorized official
BIANCA CANDA (PRACTICE ADMINISTRATOR)
(425) 227-4000
Entity
Organization
Contact information
Practice address
1412 SW 43RD ST, #110, RENTON, WA 98057-4803
(425) 227-4000
Mailing address
1412 SW 43RD ST, #110, RENTON, WA 98057-4803
(425) 227-4000
Taxonomy
Speciality
Code
Description
License number
State
207YX0905X
Otolaryngology/Facial Plastic Surgery Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7105943
—
WA
Enumeration date
06/29/2006
Last updated
01/31/2008
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