Individual
LYUDMILA MIKUTINA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RDH
Contact information
Practice address
13202 NE 83RD ST, VANCOUVER, WA 98682-3386
(360) 433-8319
Mailing address
13202 NE 83RD ST, VANCOUVER, WA 98682-3386
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
61371476
WA
124Q00000X
Dental Hygienist
H8546
OR
124Q00000X
Dental Hygienist
—
—
Other
Enumeration date
11/14/2022
Last updated
11/14/2022
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