Individual provider · NPI-1

Dr. Lourdes Mancol Acuesta, DDS

Dentist, General Practice · Seattle, WA

NPI number1891804829
StatusActive
Last updated in NPPESJul 8, 2007

Details

NPI
1891804829
Entity type
Individual (NPI-1)
Name
Dr. Lourdes Mancol Acuesta
Credential
DDS
Sex
Female
Sole proprietor
No
Enumeration date
Aug 30, 2006
Last updated
Jul 8, 2007

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
1223G0001X Dentist, General PracticeDE00005777WAYes

Practice location

1500 Fairview Ave E
Suite 302
Seattle, WA 98102-3727

Phone 206-322-7706 · Fax 206-329-5214

Mailing address

1500 Fairview Ave E
Suite 302
Seattle, WA 98102-3727

Phone 206-322-7706 · Fax 206-329-5214

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