Individual
SVETLANA ANENKO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
12711 SE MILL PLAIN BLVD, VANCOUVER, WA 98684-6053
(360) 896-4484
(360) 896-4489
Mailing address
12711 SE MILL PLAIN BLVD, VANCOUVER, WA 98684-6053
(360) 896-4484
(360) 896-4489
Taxonomy
Speciality
Code
Description
License number
State
126800000X
Dental Assistant
Primary
TIN # 93-0798039
WA
Other
Enumeration date
03/16/2016
Last updated
03/16/2016
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