Individual
DR. EDUARD GENNADIARICH SKACHKOV
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
103 E. HAZEL AVE, BURLINGTON, WA 98233
(360) 755-0057
(360) 755-9828
Mailing address
103 E. HAZEL AVE, BURLINGTON, WA 98233
(360) 755-0057
(360) 755-9828
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DE60569456
WA
Other
Enumeration date
07/02/2015
Last updated
08/09/2024
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