Individual
YANA O SULAKOV
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
11013 NE 97TH AVE, VANCOUVER, WA 98662-1578
(971) 998-8146
Mailing address
11013 NE 97TH AVE, VANCOUVER, WA 98662-1578
(971) 998-8146
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
DH61556024
WA
124Q00000X
Dental Hygienist
H7888
OR
Other
Enumeration date
05/16/2024
Last updated
05/16/2024
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