| Doctor Name: | CHRISTIAN RENE ITURRIAGA |
| NPI Number: | 1417150038 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | DPD |
| License Number: | DN00000423 |
| Business Practice Address: | 1225 Meade Ave Prosser, WA - 993501423 |
| Business Phone Number: | 5097862963 |
| Business Fax Number: | 8886569322 |
| Mailing Address: | 952 Sw Campus Dr, Apt 36-a-31 FEDERAL WAY |
| State: | WA |
| Postal Code: | 980235056 |
| Phone Number: | 5093050878 |
| Fax Number: | 8886569322 |
| NPI Enumeration Date: | 06/10/2007 |
| NPI Last Update Date: | 08/19/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 122400000X |
| License Number: | DN00000423 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | WA |
| Taxonomy Type: | Dental Providers |
| Taxonomy Classification: | Denturist |
| Taxonomy Specialization: | |
| Taxonomy Definition: | |