Individual
DR. NIKOLE DESIREE YOUNG SHVARTSUR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
D.D.S.
Contact information
Practice address
710 NW JUNIPER ST, SUITE 101, ISSAQUAH, WA 98027-2717
(425) 392-4600
Mailing address
710 NW JUNIPER ST, SUITE 101, ISSAQUAH, WA 98027-2717
(425) 392-4600
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
DENT.DE.60364933
WA
1223G0001X
General Practice Dentistry
Primary
DENT.DE.60364933
WA
Other
Enumeration date
06/11/2013
Last updated
06/11/2013
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