# NATALIIA GARIBOV DDS PLLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Fern Dental
- **Organization subpart:** No

## Provider details

- **NPI number:** 1669282588
- **Authorized official:** DR. NATALIIA GARIBOV DDS (DENTIST)
- **Authorized official phone:** (517) 243-7992

## Contact information

- **Practice address:** 7508 NE VANCOUVER MALL DR, VANCOUVER, WA 98662-6467
- **Practice address phone:** (517) 243-7992
- **Mailing address:** 7508 NE VANCOUVER MALL DR, VANCOUVER, WA 98662-6467
- **Mailing address phone:** (517) 243-7992

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QD0000X | Dental Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 01/13/2025
- **Last updated:** 02/10/2025