# STELLA DESYATNIKOVA MD PLLC

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

## Provider details

- **NPI number:** 1326074881
- **Authorized official:** STELLA DESYATNIKOVA MD (OWNER)
- **Authorized official phone:** (425) 744-1760

## Contact information

- **Practice address:** 509 OLIVE WAY \# 1430, SUITE 1430, SEATTLE, WA 98101-1720
- **Practice address phone:** (206) 682-3223
- **Practice address fax:** (206) 682-3224
- **Mailing address:** 509 OLIVE WAY \# 1430, SUITE 1430, SEATTLE, WA 98101-1720
- **Mailing address phone:** (206) 682-3223
- **Mailing address fax:** (206) 682-3224

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 2082S0099X | Plastic Surgery Within the Head and Neck (Plastic Surgery) Physician | — | WA | Yes |

## Other

- **Enumeration date:** 06/24/2006
- **Last updated:** 08/22/2020