Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 1223P0700X | Prosthodontist | DE00010436 | WA |
NPI | 1194755637 |
---|---|
Provider Name | Dr. Rosario Patricia Palacios |
First Address | Bellevue, WA 98004-3043 |
Second Address | Bellevue, WA 98004-3043 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 03/07/2006 |
Last Update Date | 08/07/2007 |