MEDICARE: DR. JOSEPH CRUZ SZABO DDS

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	122300000X	Dentist	DE60318987	WA

General Provider Information

NPI Number	:	1881954022
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. JOSEPH CRUZ SZABO DDS

Provider Business Mailing Address
First Line	:	5506 LAKEVIEW DR
Second Line	:	APARTMENT 5506J
City	:	KIRKLAND
State	:	WA
Zip	:	98033-7395
Country	:	US
Telephone Number	:	206-406-9508
Fax Number	:

Provider Business Practice Location Address
First Line	:	809 W MAIN ST
Second Line	:	SUITE A
City	:	MONROE
State	:	WA
Zip	:	98272-2172
Country	:	US
Telephone Number	:	360-805-8448
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	05/22/2012
Last Update Date	:	01/06/2016

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