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Individual

IRYNA P REVUTSKA

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
RDH

Contact information

Practice address
217 SE 136TH AVE STE 102, VANCOUVER, WA 98684-6908
(360) 896-9595
Mailing address
217 SE 136TH AVE STE 102, VANCOUVER, WA 98684-6908
(360) 896-9595

Taxonomy

Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
DH60671848
WA

Other

Enumeration date
08/23/2016
Last updated
08/23/2016
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