# THE STELLA CENTER FOR FACIAL PLASTIC SURGERY

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

## Provider details

- **NPI number:** 1619188869
- **Authorized official:** STELLA DESYATNIKOVA MD (OWNER)
- **Authorized official phone:** (206) 682-3223

## Contact information

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

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QA1903X | Ambulatory Surgical Clinic/Center | 602302730 | WA | Yes |

## Other

- **Enumeration date:** 05/26/2007
- **Last updated:** 06/21/2018