Mario D Chorak in Renton - Orthodontics And Dentofacial Orthopedics
Mario D Chorak - NPI 1255591897
Mario D Chorak is a Orthodontics And Dentofacial Orthopedics in Renton, Washington. Mario D Chorak practices all healthcare services and medical treatments related to Orthodontics And Dentofacial Orthopedics. The NPI Number for Mario D Chorak is 1255591897. The last update date is 2021-03-31.
Mario D Chorak's current location address is 14300 Se Petrovitsky Rd, Renton, Washington. You can contact this provider via phone number 4252358800 and fax number 4252350288. The mailing address for Mario D Chorak is 14300 Se Petrovitsky Rd, Renton, Washington. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Mario D Chorak |
|---|---|
| Address | 14300 Se Petrovitsky Rd, Renton, Washington |
| Phone Number | 4252358800 |
| Fax Number | 4252350288 |
| Sole Proprietor | Y |
| Credentials | DMD, PS |
NPI Number Detail
| NPI Number | 1255591897 |
|---|---|
| Provider Enumeration Date | 2008-06-16 |
| Last Updated Date | 2021-03-31 |
Provider Mailing Address Detail
| Address | 14300 Se Petrovitsky Rd |
|---|---|
| City | Renton |
| State | Washington (WA) |
| Post Code | 980588955 |
| Phone Number | 4252358800 |
| Fax Number | 4252350288 |
Provider's Primary Taxonomy Detail
| Speciality | Orthodontics And Dentofacial Orthopedics |
|---|---|
| Taxonomy | 1223X0400X |
| Licence No | DE00008957 |
|
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 |
|
Post Comment/ Review Below
What is the unique 10-digit identification code assigned to Mario D Chorak by the Centers for Medicare & Medicaid Services?
The Mario D Chorak has been issued the NPI (National Provider Identifier) 1255591897, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Can you provide the Mario D Chorak's physical address?
The Mario D Chorak is physically located at 14300 Se Petrovitsky Rd, in the city of Renton, WA, with the postal code 980588955.
What is Mario D Chorak's specialized area of practice, and what is the corresponding taxonomy classification code for this field?
The Mario D Chorak's specialized field of practice is Orthodontics And Dentofacial Orthopedics, and the corresponding taxonomy code that categorizes this area of specialization is 1223X0400X.
On what date did the Centers for Medicare & Medicaid Services assign the 1255591897 to Mario D Chorak?
The Centers for Medicare & Medicaid Services assigned the 1255591897 to Mario D Chorak on 2008-06-16.
As of what date were the Mario D Chorak's details last updated?
The information pertaining to the Mario D Chorak, including its address, specialty, and other details, was most recently updated on 2021-03-31.
NPI Number: 1356344279
Address: Mount St. Mary's Hospital Laboratory, Lewiston, NY