Individual
VISHAKHA N DEVRUKHKAR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
7803 NE FOURTH PLN RD, VANCOUVER, WA 98662-7294
(360) 768-9030
(360) 768-9031
Mailing address
PO BOX 34703, SEATTLE, WA 98124-1703
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
DE61096609
WA
1223G0001X
General Practice Dentistry
0401417138
VA
1223G0001X
General Practice Dentistry
DE61096609
WA
1223X2210X
Orofacial Pain Dentistry
Primary
DE61096609
WA
Other
Enumeration date
09/28/2020
Last updated
03/20/2025
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