# VALERIY BELIY DMD, PLLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** PRODENTAL FAMILY DENTISTRY
- **Organization subpart:** No

## Provider details

- **NPI number:** 1649589813
- **Authorized official:** DR. VALERIY BELIY DMD (MEMBER)
- **Authorized official phone:** (425) 673-8919

## Contact information

- **Practice address:** 3005 ALDERWOOD MALL PKWY, STE 200, LYNNWOOD, WA 98036-6920
- **Practice address phone:** (425) 673-8919
- **Practice address fax:** (425) 673-5674
- **Mailing address:** 3005 ALDERWOOD MALL PKWY, STE 200, LYNNWOOD, WA 98036-6920
- **Mailing address phone:** (425) 673-8919
- **Mailing address fax:** (425) 673-5674

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 122300000X | Dentist | DE 00008313 | WA | Yes |

## Other

- **Enumeration date:** 10/05/2010
- **Last updated:** 10/05/2010

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 5033741 | — | WA |