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General NPI Number Information
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NPI Number | 1710825641
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Entity Type | Organization
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Legal Business Name | GLENN J YORITA DDS, MS
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Dates
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Enumeration Date | 03/23/2026
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Last Update Date | 03/23/2026
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Provider Practice Location Address
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Address Line | 465 RAINIER BLVD N STE B
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City | ISSAQUAH
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State | WA
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Zip | 98027-2826
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Country | US
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Telephone | 425-391-1814
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Fax |
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Provider Business Mailing Address
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Address Line | 465 RAINIER BLVD N STE B
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City | ISSAQUAH
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State | WA
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Zip | 98027-2826
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Country | US
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Telephone | 425-391-1814
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Fax | 425-837-9233
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Authorized Official
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Title or Position | OWNER
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Name | DR. GLENN J YORITA
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Credential | DDS, MS
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Telephone | 425-391-1814
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1223X0400X
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Taxonomy Name | Orthodontics and Dentofacial Orthopedics Dentistry
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License Number |
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License Number State |
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