Individual
OLGA PETROVNA CHERNICHENKO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
15668 W VALLEY HWY, TUKWILA, WA 98188-5534
(425) 430-9099
Mailing address
15668 W VALLEY HWY, TUKWILA, WA 98188-5534
(425) 430-9099
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
DE61445902
WA
Other
Enumeration date
06/29/2023
Last updated
06/29/2023
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