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Individual

AGATHA C. STAVNESLI

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
RDH

Contact information

Practice address
1200 12TH AVE S STE 401, SEATTLE, WA 98144-2730
(206) 548-5850
(206) 328-4034
Mailing address
PO BOX 3835, SEATTLE, WA 98124-3835
(206) 548-3114
(206) 762-6355

Taxonomy

Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
DH00006636
WA

Other

Enumeration date
12/27/2018
Last updated
12/27/2018
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