Organization
ANDREW SHOLUDKO PLLC
Active
Other names
Silver Lake Dental Care
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ANDREW P SHOLUDKO DMD (DENTIST/OWNER)
(774) 278-0412
Entity
Organization
Contact information
Practice address
10830 19TH AVE SE, SUITE A, EVERETT, WA 98208-5181
(425) 338-7134
Mailing address
10830 19TH AVE SE, SUITE A, EVERETT, WA 98208-5181
(425) 338-7134
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
DE60484387
WA
Other
Enumeration date
03/20/2015
Last updated
03/20/2015
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