Individual
LUBA V KRASNOGOROV
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RDA
Contact information
Practice address
12711 SE MILL PLAIN BLVD, VANCOUVER, WA 98684-6053
(360) 896-4484
Mailing address
31709 SE 22ND ST, WASHOUGAL, WA 98671-8269
(360) 835-3454
Taxonomy
Speciality
Code
Description
License number
State
126800000X
Dental Assistant
Primary
—
WA
Other
Enumeration date
11/12/2008
Last updated
11/12/2008
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