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Individual

DR. SUBASHINEE VAIDYANATHAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
D.D.S

Contact information

Practice address
670 NW GILMAN BLVD, ISSAQUAH, WA 98027-2444
(425) 557-6453
Mailing address
8296 160TH AVE NE UNIT 119, REDMOND, WA 98052-3852
(734) 881-0265

Taxonomy

Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
DE61077029
WA

Other

Enumeration date
07/04/2020
Last updated
07/08/2020
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