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Individual
SERGEY V LOZAN
Active
Individual
SERGEY V LOZAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DE00007563
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
3287LO
REGENCE BLUE SHIELD
WA
05
—
5023684
—
WA
01
—
57563
WA DENTAL SERVICE
WA
Enumeration date
11/24/2006
Last updated
07/08/2007
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