Individual
SIONY F TABANDA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DPD
Contact information
Practice address
241 S 4TH PL STE A, RENTON, WA 98055-2400
(425) 204-0499
(425) 204-0521
Mailing address
241 S 4TH PL STE A, RENTON, WA 98055-2400
(425) 204-0499
(425) 204-0521
Taxonomy
Speciality
Code
Description
License number
State
122400000X
Denturist
Primary
DN00000200
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
5027131
—
WA
Enumeration date
01/25/2007
Last updated
07/09/2007
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