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Nicholas Parque Valid NPI

Individual provider · General Practice Dentistry · Seatlle, WA

NPI
1790132041
Type
Individual (Type 1)
Primary specialty
General Practice Dentistry (Dentist)
Specialty group
Dental Providers
Taxonomy code
1223G0001X
License number
60650656 (WA)
Sex
Male
Sole proprietor
No
Enumerated
2016-05-17
Last updated
2023-10-16
Practice location
4915 25th Ave Ne
Seatlle, WA 98105
(206) 524-1600

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