Organization
GARIBOV, PLLC
Active
Other names
Columbia River Implants and Periodontics
Organization subpart
No
Provider details
NPI number
Authorized official
MIKHAIL GARIBOV DDS MSD (MEMBER)
(360) 513-6244
Entity
Organization
Contact information
Practice address
9300 NE VANCOUVER MALL DR STE 205, VANCOUVER, WA 98662-8201
(360) 524-4236
(360) 397-6867
Mailing address
3820 READING ST SE, OLYMPIA, WA 98501-3084
(360) 513-6244
Taxonomy
Speciality
Code
Description
License number
State
1223P0300X
Periodontics
Primary
—
—
Other
Enumeration date
08/12/2021
Last updated
08/12/2021
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