Individual
MS. SOFYA V KOCHUBEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DENURIST
Contact information
Practice address
5904 N 45TH ST, TACOMA, WA 98407-1902
(253) 238-1783
Mailing address
5904 N 45TH ST, TACOMA, WA 98407-1902
(253) 238-1783
Taxonomy
Speciality
Code
Description
License number
State
122400000X
Denturist
Primary
DN60141899
WA
Other
Enumeration date
11/24/2010
Last updated
01/31/2012
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