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General NPI Number Information
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NPI Number | 1285434019
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Entity Type | Organization
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Legal Business Name | J O ESCOBAR DDS PLLC
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Dates
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Enumeration Date | 03/19/2025
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Last Update Date | 03/19/2025
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Provider Practice Location Address
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Address Line | 620 KIRKLAND WAY STE 102
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City | KIRKLAND
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State | WA
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Zip | 98033-6303
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Country | US
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Telephone | 425-822-2500
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Fax |
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Provider Business Mailing Address
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Address Line | 710 4TH LN S
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City | KIRKLAND
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State | WA
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Zip | 98033-6934
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Country | US
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Telephone | 310-344-7258
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Fax |
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Authorized Official
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Title or Position | SOLE PROPRIETOR
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Name | DR. JULIO ESCOBAR
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Credential | DDS
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Telephone | 310-344-7258
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1223P0221X
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Taxonomy Name | Pediatric Dentistry
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License Number |
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License Number State |
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