IVAN PUENTE ROCA

VANCOUVER, WA
NPI1851545347
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy126800000X Dental Assistant
(Licence: WA  RDA)
Enumeration Date2008-11-10
Last Update Date2008-11-10
Business Address
-- IVAN PUENTE ROCA RDA
12711 SE MILL PLAIN BLVD
VANCOUVER, WA 98684-6053
Phone number: 360-944-2814
Mailing Address
-- IVAN PUENTE ROCA RDA
12711 SE MILL PLAIN BLVD
VANCOUVER, WA 98684-6053
Phone number: