Provider Demographics
NPI:1982723086
Name:BARIZO, ESTHER CHARMAINE (DDS)
Entity Type:Individual
Prefix:DR
First Name:ESTHER
Middle Name:CHARMAINE
Last Name:BARIZO
Suffix:
Gender:F
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:16317 34TH DR SE
Mailing Address - Street 2:
Mailing Address - City:MILL CREEK
Mailing Address - State:WA
Mailing Address - Zip Code:98012-8349
Mailing Address - Country:US
Mailing Address - Phone:425-483-5304
Mailing Address - Fax:
Practice Address - Street 1:14500 GREENWOOD AVE N
Practice Address - Street 2:SUITE B
Practice Address - City:SHORELINE
Practice Address - State:WA
Practice Address - Zip Code:98133-6419
Practice Address - Country:US
Practice Address - Phone:206-363-1900
Practice Address - Fax:206-440-0478
Is Sole Proprietor?:Yes
Enumeration Date:2007-03-28
Last Update Date:2007-08-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAD90341223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice