Individual
INA APANASEVICH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DENTURIST
Contact information
Practice address
9205 150TH STREET CT E, PUYALLUP, WA 98375-6963
(253) 314-1288
Mailing address
9205 150TH STREET CT E, PUYALLUP, WA 98375-6963
(253) 314-1288
Taxonomy
Speciality
Code
Description
License number
State
122400000X
Denturist
Primary
DN 60543708
WA
Other
Enumeration date
04/22/2016
Last updated
04/22/2016
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