# GENNADIY KALVISH DDS PLLC

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

## Provider details

- **NPI number:** 1841148129
- **Authorized official:** DR. GENNADIY KALVISH DDS (DENTIST OWNER)
- **Authorized official phone:** (253) 632-8963

## Contact information

- **Practice address:** 520 N OLYMPIC AVE, ARLINGTON, WA 98223-1247
- **Practice address phone:** (360) 435-4043
- **Mailing address:** 1811 VERNON RD, LAKE STEVENS, WA 98258-8529

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223G0001X | General Practice Dentistry | — | NULL | Yes |
| 1223G0001X | General Practice Dentistry | — | — | Yes |

## Other

- **Enumeration date:** 03/20/2026
- **Last updated:** 03/20/2026