| Jorge Peralta Dds, Ps | |
|
15507 2nd Ave Sw Burien WA 98166-2540 | |
| (206) 244-7800 | |
| (206) 244-0566 |
| Full Name | Jorge Peralta Dds, Ps |
|---|---|
| Speciality | Dentist - Orthodontics And Dentofacial Orthopedics |
| Location | 15507 2nd Ave Sw, Burien, Washington |
| Authorized Official Name and Position | Jorge Peralta (OWNER/ORTHODONTIST) |
| Authorized Official Contact | 2062447800 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Jorge Peralta Dds, Ps 15507 2nd Ave Sw Burien WA 98166-2540 Ph: (206) 244-7800 | Jorge Peralta Dds, Ps 15507 2nd Ave Sw Burien WA 98166-2540 Ph: (206) 244-7800 |
| NPI Number | 1659507630 |
|---|---|
| Provider Enumeration Date | 06/04/2009 |
| Last Update Date | 06/04/2009 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1659507630 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223X0400X | Dentist - Orthodontics And Dentofacial Orthopedics | 60002899 (Washington) | Primary |
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