Organization
SOLO DENTURE AND DENTAL CLINIC INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. OLEKSANDR STASYUK D.P.D (OWNER)
(425) 346-1604
Entity
Organization
Contact information
Practice address
7411 196TH ST SW, LYNNWOOD, WA 98036-5052
(425) 678-1166
(425) 678-1167
Mailing address
7924 236TH ST SW APT 300, EDMONDS, WA 98026-8838
(425) 346-1604
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
DN60612122
WA
Other
Enumeration date
11/13/2015
Last updated
11/13/2015
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