Individual
VADIM ZALYASHKO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LLD DENTURIST
Contact information
Practice address
13720 NE 28TH ST STE B, VANCOUVER, WA 98682-8289
(360) 256-4656
Mailing address
13720 NE 28TH ST STE B, VANCOUVER, WA 98682-8289
(360) 256-4656
Taxonomy
Speciality
Code
Description
License number
State
122400000X
Denturist
Primary
DN60141938
WA
Other
Enumeration date
11/15/2013
Last updated
04/01/2019
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