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Organization
KUSHNER AUBURN PLLC
Active
Organization
KUSHNER AUBURN PLLC
Active
Parent organization
KUSHNER AUBURN PLLC
Organization subpart
Yes
Provider details
NPI number
Legal business name
KUSHNER AUBURN PLLC
Authorized official
TANYA A GUREVICH KUSHNER DDS (OWNER)
(360) 779-7711
Entity
Organization
Contact information
Practice address
1380 112TH AVE NE STE 307, BELLEVUE, WA 98004-3759
(253) 236-5240
(866) 861-6286
Mailing address
1380 112TH AVE NE STE 307, BELLEVUE, WA 98004-3759
(253) 236-5240
(866) 861-6286
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
—
NULL
122300000X
Dentist
Primary
—
—
1223X2210X
Orofacial Pain Dentistry
—
NULL
1223X2210X
Orofacial Pain Dentistry
—
—
332BC3200X
Customized Equipment (DME)
—
NULL
Other
Enumeration date
11/08/2023
Last updated
11/08/2023
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