Solo Denture and Dental Clinic INC

NPI #1013381045 in Lynnwood, Washington

Provider Information

NPI Number: 1013381045
Entity Type: Organization
Organization Name: Solo Denture and Dental Clinic INC
Primary Specialty: Clinic/Center - Dental
Enumeration Date: Nov 13, 2015
Last Updated: Nov 13, 2015

Practice Location

Address: 7411 196TH ST SW
City: Lynnwood
State: Washington
ZIP Code: 98036-5052
Phone: (425) 678-1166

Authorized Official

Name: DR. OLEKSANDR STASYUK, D.P.D
Title: OWNER
Phone: (425) 346-1604

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Clinic/Center - Dental — Dental	261QD0000X	Primary

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