Individual
DR. PAVEL N VASILYUK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
915 SHERIDAN ST, PORT TOWNSEND, WA 98368-2931
(360) 344-1005
Mailing address
915 SHERIDAN ST, PORT TOWNSEND, WA 98368-2931
(360) 344-1005
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DE60887152
WA
Other
Enumeration date
08/14/2018
Last updated
10/11/2019
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