Individual
VLADIMIR GAVRILYUK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DENTURIST
Contact information
Practice address
201 S DIVISION ST, SUITE B, AUBURN, WA 98001-5332
(253) 931-0225
Mailing address
1901 37TH WAY SE, AUBURN, WA 98002-8234
(253) 735-6506
Taxonomy
Speciality
Code
Description
License number
State
122400000X
Denturist
Primary
DN00000308
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
5041595
—
WA
Enumeration date
06/11/2007
Last updated
07/09/2007
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