person
Jorge Abel Vizcarra, LD
Denturist in Seattle, Washington
NPI 1629446364

Jorge Abel Vizcarra is a Denturist based in Seattle, WA. Jorge Abel Vizcarra practices in Seattle, WA and has the professional credentials of LD. The NPI Number for Jorge Abel Vizcarra is 1629446364 and holds a License No. DN00000259 (Washington).

The current practice location address for Jorge Abel Vizcarra is 12733 Lake City Way Ne Ste 301, Seattle, WA and can be reached out via phone at 206-365-5060 and via fax at 206-417-3047.

Location: 12733 Lake City Way Ne Ste 301, Seattle, WA, 98125-4490
person
Provider Profile Details
NPI Number
1629446364
Provider Name
Jorge Abel Vizcarra
Credential
LD
Provider Entity Type
Individual
Gender
Male
Address
12733 Lake City Way Ne Ste 301, Seattle, WA, 98125-4490
Phone Number
206-365-5060
Fax Number
206-417-3047
Provider Enumeration Date
09/11/2015
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
DSHS 5057865 01 WA DSHS PROVIDER
institution
Provider Business Practice Location Address Details
Address
12733 Lake City Way Ne Ste 301
City
State
Zip
98125-4490
Phone Number
206-365-5060
Fax Number
206-417-3047
person
Provider Business Mailing Address Details
Address
12733 Lake City Way Ne Ste 301
City
State
Zip
98125-4490
Phone Number
206-365-5060
Fax Number
206-417-3047
person
Provider's Taxonomy Details 1
Type
Dental Providers
Classification
Denturist
Speciality
-
Taxonomy
License No.
DN00000259 (Washington)
Definition
Definition to come.
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