NPI 1659461952 · live from the CMS NPI Registry
Cynthia Lynn Koudela, D.D.S., M.S.D
Dentist, Orthodontics and Dentofacial Orthopedics in Seattle, WA. National Provider Identifier 1659461952, active.
NPI record
| NPI | 1659461952 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Dentist, Orthodontics and Dentofacial Orthopedics 1223X0400X |
| Practice location | 11011 Meridian Ave N, Suite 104, Seattle, WA 98133 |
| Practice phone | 206-365-0378 |
| Mailing address | 6950 Ne Campus Way, Hillsboro, OR 97124 |
| Enumerated | October 15, 2006 |
| Last updated | June 2, 2015 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Dentist, Orthodontics and Dentofacial Orthopedics primary | 1223X0400X | DE00006021 (WA) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.