Individual
DR. WAYNE ETNYRE SVOBODA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
32105 1ST AVE S, # B3, FEDERAL WAY, WA 98003
(253) 838-2560
(253) 838-2561
Mailing address
32105 1ST AVE S, # B3, FEDERAL WAY, WA 98003
(253) 838-2560
(253) 838-2561
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
DE00006634
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
5020227
—
WA
01
—
601630258
UNIFIED BUSINESS ID
WA
Enumeration date
10/11/2006
Last updated
07/08/2007
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