# TVERSKOY PLLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Admiral Dental
- **Organization subpart:** No

## Provider details

- **NPI number:** 1003381302
- **Authorized official:** IGOR TVERSKOY DMD (OWNER/DENTIST)
- **Authorized official phone:** (206) 383-4467

## Contact information

- **Practice address:** 4000 SW ADMIRAL WAY, SEATTLE, WA 98116-2516
- **Practice address phone:** (206) 935-2632
- **Mailing address:** 5950 31ST AVE SW, SEATTLE, WA 98126-2910
- **Mailing address phone:** (206) 383-4467

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QD0000X | Dental Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 10/12/2018
- **Last updated:** 10/12/2018