| Solo Denture And Dental Clinic Inc | |
|
7411 196th St Sw Lynnwood WA 98036-5052 | |
| (425) 678-1166 | |
| (425) 678-1167 |
| Full Name | Solo Denture And Dental Clinic Inc |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 7411 196th St Sw, Lynnwood, Washington |
| Authorized Official Name and Position | Oleksandr Stasyuk (OWNER) |
| Authorized Official Contact | 4253461604 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Solo Denture And Dental Clinic Inc 7924 236th St Sw Apt 300 Edmonds WA 98026-8838 Ph: (425) 346-1604 | Solo Denture And Dental Clinic Inc 7411 196th St Sw Lynnwood WA 98036-5052 Ph: (425) 678-1166 |
| NPI Number | 1013381045 |
|---|---|
| Provider Enumeration Date | 11/13/2015 |
| Last Update Date | 11/13/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1013381045 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | DN60612122 (Washington) | Primary |
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Ronald D. Cantu Dds Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 6226 196th St Sw Ste 2a, Lynnwood, WA 98036 Phone: 425-778-0707 Fax: 425-778-4049 | |
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