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Organization
SOLO DENTURE AND DENTAL CLINIC INC
Active
Organization
SOLO DENTURE AND DENTAL CLINIC INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. OLEKSANDR STASYUK D.P.D (OWNER)
(425) 346-1604
Entity
Organization
Contact information
Practice address
7411 196TH ST SW, LYNNWOOD, WA 98036-5052
(425) 678-1166
(425) 678-1167
Mailing address
7924 236TH ST SW APT 300, EDMONDS, WA 98026-8838
(425) 346-1604
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
DN60612122
WA
Other
Enumeration date
11/13/2015
Last updated
11/13/2015
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