# NINA SVINO DDS PLLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1043322563
- **Authorized official:** NINA SVINO DDS (MANAGER)
- **Authorized official phone:** (206) 306-0080

## Contact information

- **Practice address:** 18515 BALLINGGER WAY NE, LAKE FOREST PARK, WA 98155
- **Practice address phone:** (206) 306-0080
- **Practice address fax:** (206) 306-0222
- **Mailing address:** 18515 BALLINGGER WAY NE, LAKE FOREST PARK, WA 98155
- **Mailing address phone:** (206) 306-0080
- **Mailing address fax:** (206) 306-0222

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 122300000X | Dentist | 00009803 | WA | Yes |
| 122300000X | Dentist | 47687 | CA | — |

## Other

- **Enumeration date:** 08/31/2006
- **Last updated:** 08/22/2020