Individual
DIANA RYBAKOV
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
2101 E YESLER WAY, SEATTLE, WA 98122-5959
(206) 461-7801
(206) 461-3910
Mailing address
PO BOX 3835, SEATTLE, WA 98124-3835
(206) 548-3114
(206) 762-6355
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DE00007520
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
5021639
—
WA
Enumeration date
11/08/2006
Last updated
11/11/2016
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