Organization
EVERGREEN DENTURE CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
VADIM ZALYASHKO DENTURIST (DENTURIST)
(360) 256-4656
Entity
Organization
Contact information
Practice address
13720 NE 28TH ST, VANCOUVER, WA 98682-8289
(360) 256-4656
(360) 256-2829
Mailing address
13720 NE 28TH ST, VANCOUVER, WA 98682-8289
(360) 256-4656
(360) 256-2829
Taxonomy
Speciality
Code
Description
License number
State
122400000X
Denturist
Primary
—
—
Other
Enumeration date
10/08/2013
Last updated
10/08/2013
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