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Individual

SAKTHI PAVITHRA SELVA RATHAKRISHNAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
18100 NE 95TH ST, #EE2028, REDMOND, WA 98052-6931
(425) 241-0957
Mailing address
18100 NE 95TH ST, #EE2028, REDMOND, WA 98052-6931
(425) 241-0957

Taxonomy

Speciality
Code
Description
License number
State
126800000X
Dental Assistant
Primary

Other

Enumeration date
03/05/2015
Last updated
03/05/2015
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