Individual
VICTOR R PLAVSKY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LD
Contact information
Practice address
24610 36TH AVE S, KENT, WA 98032-1520
(253) 941-5400
(866) 297-7419
Mailing address
PO BOX 58, SNOQUALMIE, WA 98065-0058
(253) 941-5400
(866) 297-4193
Taxonomy
Speciality
Code
Description
License number
State
122400000X
Denturist
Primary
DN00000296
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
5038849
—
WA
Enumeration date
03/13/2007
Last updated
07/09/2007
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