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Individual

DR. EVYENIA KOLLIA

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
DMD

Contact information

Practice address
2701 EASTLAKE AVE E # 104, SEATTLE, WA 98102-3104
(206) 588-0714
(206) 588-0716
Mailing address
2701 EASTLAKE AVE E # 104, SEATTLE, WA 98102-3104
(206) 588-0714
(206) 588-0716

Taxonomy

Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DE10405
WA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
DE10405
DENTAL LICENSE
WA
Enumeration date
05/15/2007
Last updated
04/11/2018
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