Individual
IGOR TVERSKOY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
4000 SW ADMIRAL WAY, SEATTLE, WA 98116-2516
(206) 935-2632
Mailing address
4000 SW ADMIRAL WAY, SEATTLE, WA 98116-2516
(206) 937-3350
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DE60757882
WA
Other
Enumeration date
06/05/2017
Last updated
07/12/2019
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