Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 1223E0200X | Endodontist | DE60485687 | WA |
NPI | 1083843536 |
---|---|
Provider Name | Dr. Adriana Baiz |
First Address | Renton, WA 98057-5560 |
Second Address | Seattle, WA 98108-4813 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 06/07/2009 |
Last Update Date | 26/11/2014 |