Organization
AFFORDABLE DENTAL AND DENTURES,INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
OLGA V RAZUMOVICH (OFFICER)
(206) 542-2196
Entity
Organization
Contact information
Practice address
19550 AURORA AVE N, SHORELINE, WA 98133-3521
(206) 542-2196
Mailing address
19550 AURORA AVE N, SHORELINE, WA 98133-3521
(206) 542-2196
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
DE000010385
WA
1223G0001X
General Practice Dentistry
DE00009387
WA
122400000X
Denturist
Primary
DN60034321
WA
Other
Enumeration date
09/17/2008
Last updated
09/17/2008
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