Individual
ILYA MILOSLAVSKIY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.D.S
Contact information
Practice address
1130 140TH AVE NE STE 100B, BELLEVUE, WA 98005
(425) 746-6090
(425) 747-9856
Mailing address
313 AVENUE OF THE AMERICAS, APT. 1A, NEW YORK, NY 10014-4445
(917) 658-4575
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
052222
NY
1223P0700X
Prosthodontics
60452580
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02771488
—
NY
Enumeration date
02/17/2007
Last updated
06/07/2018
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