Trina Marie Bruchal in Bothell - Orthodontics And Dentofacial Orthopedics
Trina Marie Bruchal - NPI 1023208501
Trina Marie Bruchal is a Orthodontics And Dentofacial Orthopedics in Bothell, Washington. Trina Marie Bruchal practices all healthcare services and medical treatments related to Orthodontics And Dentofacial Orthopedics. The NPI Number for Trina Marie Bruchal is 1023208501. The last update date is 2022-07-26.
Trina Marie Bruchal's current location address is 12900 Ne 180th St Ste 215, Bothell, Washington. You can contact this provider via phone number 4259398428 and fax number 4259398418. The mailing address for Trina Marie Bruchal is 12900 Ne 180th St Ste 215, Bothell, Washington. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Trina Marie Bruchal |
|---|---|
| Address | 12900 Ne 180th St Ste 215, Bothell, Washington |
| Phone Number | 4259398428 |
| Fax Number | 4259398418 |
| Sole Proprietor | N |
| Credentials | DMD |
NPI Number Detail
| NPI Number | 1023208501 |
|---|---|
| Provider Enumeration Date | 2007-07-31 |
| Last Updated Date | 2022-07-26 |
Provider Mailing Address Detail
| Address | 12900 Ne 180th St Ste 215 |
|---|---|
| City | Bothell |
| State | Washington (WA) |
| Post Code | 980115773 |
| Phone Number | 4259398428 |
| Fax Number | 4259398418 |
Provider's Primary Taxonomy Detail
| Speciality | Orthodontics And Dentofacial Orthopedics |
|---|---|
| Taxonomy | 1223X0400X |
| Licence No | DE00010886 |
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Definition: That area of dentistry concerned with the supervision, guidance and correction of the growing or mature dentofacial structures, including those conditions that require movement of teeth or correction of malrelationships and malformations of their rel |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 1023208501 | WA | -- |
Post Comment/ Review Below
What is the unique 10-digit identifier code assigned to Trina Marie Bruchal by the Centers for Medicare & Medicaid Services?
The Trina Marie Bruchal has been issued the NPI (National Provider Identifier) 1023208501 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.
Could you please provide the complete physical location address of Trina Marie Bruchal?
The Trina Marie Bruchal is physically situated at 12900 Ne 180Th St Ste 215, in the city of Bothell, state of WA, with the postal code 980115773.
What is the Trina Marie Bruchal's specialty and taxonomy code?
The Trina Marie Bruchal's specialty is Orthodontics And Dentofacial Orthopedics, and the corresponding taxonomy code is 1223X0400X.
On what date was the 1023208501 assigned to Trina Marie Bruchal?
The Trina Marie Bruchal was issued its 1023208501 on 2007-07-31, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.
As of what date were the Trina Marie Bruchal's details last updated?
The information pertaining to the Trina Marie Bruchal, including its address, specialty, and other details, was most recently updated on 2022-07-26.