Individual
MIKHAIL GARIBOV
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS, MSD
Contact information
Practice address
9300 NE VANCOUVER MALL DR STE 205, VANCOUVER, WA 98662-8201
(360) 513-6244
Mailing address
3820 READING ST SE, OLYMPIA, WA 98501-3084
(360) 513-6244
Taxonomy
Speciality
Code
Description
License number
State
1223P0300X
Periodontics
Primary
DE60464667
WA
Other
Enumeration date
09/09/2014
Last updated
08/12/2021
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