Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 1223X0400X | Orthodontists | DE00010910 | WA |
NPI | 1013210939 |
---|---|
Provider Name | Dr. Tripti Pawar |
First Address | Newcastle, WA 98059-9207 |
Second Address | Issaquah, WA 98027-3438 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 15/12/2010 |
Last Update Date | 15/12/2010 |