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RAFAEL DINO DIMAYUGA DDS NPI 1174807556


NPI Information

NPI: 1174807556
Provider Name: RAFAEL DINO DIMAYUGA, DDS
Classification: Clinic/Center - 261QD0000X
Entity Type: Organization

Specialization: Dental

Address:
4215 198TH ST SW STE 203
LYNNWOOD, WA
ZIP 98036
Phone: (425) 775-3427
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RAFAEL DINO DIMAYUGA, DDS is a dental clinic center in Lynnwood, WA. RAFAEL DINO DIMAYUGA, DDS NPI is 1174807556. The provider is registered as an organization entity type.

The provider's business location address is:

4215 198TH ST SW STE 203
LYNNWOOD, WA
ZIP 98036-738
Phone: (425) 775-3427

The provider's authorized official is Rafael Dino Dimayuda .
The authorized official title is Owner and has the following contact phone number (425) 775-3427.

The enumeration date for this NPI number is 10/4/2011 and was last updated on 10/6/2011.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1261QD0000XClinic/CenterDentalDE00010388WASHINGTONYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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