# DR. SHUR DENTAL

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- **Entity:** Organization
- **Status:** Active
- **Other names:** dentist
- **Organization subpart:** No

## Provider details

- **NPI number:** 1215447677
- **Authorized official:** MRS. IRINA ZAYATS (MANAGER)
- **Authorized official phone:** (425) 741-2030

## Contact information

- **Practice address:** 16108 ASH WAY STE 202, LYNNWOOD, WA 98087-8781
- **Practice address phone:** (425) 741-2030
- **Practice address fax:** (425) 741-2026
- **Mailing address:** 16108 ASH WAY STE 202, LYNNWOOD, WA 98087-8781
- **Mailing address phone:** (425) 741-2030
- **Mailing address fax:** (425) 741-2026

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223G0001X | General Practice Dentistry | DE00010297 | WA | Yes |

## Other

- **Enumeration date:** 10/11/2017
- **Last updated:** 06/16/2018

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 1001094 | — | WA |