DoctorDataHub
Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

MR. MAURICIO JESUS HENRIQUEZ, LD

Active Sole Proprietor

MR. MAURICIO JESUS HENRIQUEZ, LD is a 122400000X healthcare provider located in BELLEVUE, Washington. NPI 1306023213 is currently active in the NPPES registry. Verify at CMS.

122400000X · BELLEVUE, WA

Registration Details

NPI Number
1306023213
Provider Type
Individual
Gender
Male
NPI Issued
Jan 23, 2008 (18.37591503768 yrs)
Last Updated
Jan 23, 2008
License
DN00000313 (WA)
Sole Proprietor
Yes

Practice Information

Address
163 164TH AVE SE
BELLEVUE, WA, 980084637
Browse WA providers · Browse ZIP 98008
Phone
4254176091
Primary Specialty
122400000X
122400000X

Other 122400000X Providers in BELLEVUE, WA

Name Credential NPI
MR. IFTACH (JEFF ) GOOBES DENTURIST 1568599074
MR. ABRAAM P ABRAMOV LD 1649472721
FARZAD KHALILI L.D 1487967568
OMID ZAREI DENTURIST 1124445523
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.