SearchWashingtonDenturist

Jorge Vizcarra, LD

NPI 1629446364 · on the registry since 2015 · sole proprietor

Practice

Address
12733 Lake City Way Ne Ste 301
Seattle, WA 98125
Phone
(206) 365-5060
Fax
(206) 417-3047
Clinicians at this address
2

Registry record

Primary taxonomy
Denturist
122400000X
Licence states on file
WA
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2015-09-11

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Washington