Healthcare Provider Details
I. General information
NPI: 1598138166
Provider Name (Legal Business Name): FRANCISCO PAUL CURIEL AGUILERA DDS, MS
Entity Type: Individual
Gender: Male
Sole Proprietor: N
II. Dates (important events)
Enumeration Date: 11/04/2015
Last Update Date: 11/15/2023
Certification Date: 11/15/2023
Deactivation Date:
Reactivation Date:
III. Provider practice location address
1200 112TH AVE NE STE C110
BELLEVUE WA
98004-3737
US
IV. Provider business mailing address
1200 112TH AVE NE STE C110
BELLEVUE WA
98004-3737
US
V. Phone/Fax
- Phone: 425-533-0552
- Fax:
- Phone: 425-533-0552
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 1223P0300X |
| Taxonomy | Periodontics |
| License Number | DE60882190 |
| License Number State | WA |
VIII. Authorized Official
Name:
Title or Position:
Credential:
Phone: