Provider Demographics
NPI:1881954022
Name:SZABO, JOSEPH CRUZ (DDS)
Entity type:Individual
Prefix:DR
First Name:JOSEPH
Middle Name:CRUZ
Last Name:SZABO
Suffix:
Gender:M
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5506 LAKEVIEW DR
Mailing Address - Street 2:APARTMENT 5506J
Mailing Address - City:KIRKLAND
Mailing Address - State:WA
Mailing Address - Zip Code:98033-7395
Mailing Address - Country:US
Mailing Address - Phone:206-406-9508
Mailing Address - Fax:
Practice Address - Street 1:809 W MAIN ST
Practice Address - Street 2:SUITE A
Practice Address - City:MONROE
Practice Address - State:WA
Practice Address - Zip Code:98272-2172
Practice Address - Country:US
Practice Address - Phone:360-805-8448
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2012-05-22
Last Update Date:2016-01-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WADE60318987122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist