Individual
DR. TIMUR ERNAFASOV
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
610 W MEEKER ST, SUITE #102, KENT, WA 98032-5726
(253) 852-6080
(253) 852-6099
Mailing address
12549 ROOSEVELT WAY NE APT 7, SEATTLE, WA 98125-3973
(253) 852-6080
(253) 852-6099
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
DE00010048
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
5047519
—
WA
Enumeration date
07/06/2006
Last updated
07/09/2007
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