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Mr. Mauricio Jesus Henriquez, LD
Denturist in Bellevue, Washington
NPI 1306023213

Mauricio Jesus Henriquez is a Denturist based in Bellevue, WA. Mauricio Jesus Henriquez practices in Bellevue, WA and has the professional credentials of LD. The NPI Number for Mauricio Jesus Henriquez is 1306023213 and holds a License No. DN00000313 (Washington).

The current practice location address for Mauricio Jesus Henriquez is 163 164Th Ave Se, Bellevue, WA and can be reached out via phone at 425-417-6091.

Location: 163 164Th Ave Se, Bellevue, WA, 98008-4637
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1306023213
Provider Name
Mauricio Jesus Henriquez
Credential
LD
Provider Entity Type
Individual
Gender
Male
Address
163 164Th Ave Se, Bellevue, WA, 98008-4637
Phone Number
425-417-6091
Fax Number
Provider Enumeration Date
01/23/2008
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
163 164Th Ave Se
City
Bellevue
State
Washington
Zip
98008-4637
Phone Number
425-417-6091
Fax Number
person
Provider Business Mailing Address Details
Address
163 164Th Ave Se
City
Bellevue
State
Washington
Zip
98008-4637
Phone Number
425-417-6091
Fax Number
person
Provider's Taxonomy Details 1
Type
Dental Providers
Classification
Denturist
Speciality
-
Taxonomy
122400000X
License No.
DN00000313 (Washington)
Definition
Definition to come.
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