Individual
DR. ASHOKA SUBEDAR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
230 S 15TH ST, SUITE A, MOUNT VERNON, WA 98274-4570
(360) 424-9860
(360) 424-9861
Mailing address
230 S 15TH ST, SUITE A, MOUNT VERNON, WA 98274-4570
(360) 424-9860
(360) 424-9861
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
8691
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1548375124
NPI ORGANIZATION
WA
Enumeration date
09/01/2011
Last updated
09/01/2011
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