institution
Trina Bruchal, Dmd, Pllc
Dental Clinic/Center in Bothell, Washington
NPI 1033411053

Trina Bruchal, Dmd, Pllc is a Dental Clinic/Center based in Bothell, WA and is specialized in Dental. Trina Bruchal, Dmd, Pllc practices in Bothell, WA. The NPI Number for Trina Bruchal, Dmd, Pllc is 1033411053 and holds a License No. DE00010886 (Washington).

The current practice location address for Trina Bruchal, Dmd, Pllc is 12900 Ne 180Th St Ste 215, Bothell, WA and can be reached out via phone at 425-939-8428 and via fax at 425-939-8418. You can also correspond with Trina Bruchal, Dmd, Pllc through the mailing address at 12900 NE 180TH ST STE 215, BOTHELL, WA - 98011-5773 (mailing address contact number: 425-939-8428).

Location: 12900 Ne 180Th St Ste 215, Bothell, WA, 98011-5773
institution
Provider Profile Details
NPI Number
1033411053
Provider Name
Trina Bruchal, Dmd, Pllc
Credential
Provider Entity Type
Organization
Address
12900 Ne 180Th St Ste 215, Bothell, WA, 98011-5773
Phone Number
425-939-8428
Fax Number
425-939-8418
Provider Enumeration Date
11/23/2010
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
1023208501 05 WA
institution
Provider Business Practice Location Address Details
Address
12900 Ne 180Th St Ste 215
City
State
Zip
98011-5773
Phone Number
425-939-8428
Fax Number
425-939-8418
person
Provider Business Mailing Address Details
Address
12900 Ne 180Th St Ste 215
City
State
Zip
98011-5773
Phone Number
425-939-8428
Fax Number
425-939-8418
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Dental
Taxonomy
License No.
DE00010886 (Washington)
Definition
Definition to come...
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