Individual
PAVEL TERESHCHUK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
4111 ALDERWOOD MALL BLVD, LYNNWOOD, WA 98036-6765
(425) 249-0771
Mailing address
10829 87TH AVE NE, MARYSVILLE, WA 98271-7629
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
DH61098804
WA
Other
Enumeration date
08/12/2021
Last updated
08/20/2021
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