Organization
KUSHNER AUBURN PLLC
Active
Parent organization
KUSHNER AUBURN PLLC
Organization subpart
Yes
Provider details
NPI number
Legal business name
KUSHNER AUBURN PLLC
Authorized official
TANYA A GUREVICH KUSHNER DDS (OWNER)
(360) 779-7711
Entity
Organization
Contact information
Practice address
1380 112TH AVE NE STE 307, BELLEVUE, WA 98004-3759
(253) 236-5240
(866) 861-6286
Mailing address
1380 112TH AVE NE STE 307, BELLEVUE, WA 98004-3759
(253) 236-5240
(866) 861-6286
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
—
—
1223X2210X
Orofacial Pain Dentistry
—
—
332BC3200X
Customized Equipment (DME)
—
—
Other
Enumeration date
11/08/2023
Last updated
11/08/2023
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