Vadym Prasol, LD

NPI #1164292249 in Pacific, Washington

Provider Information

NPI Number: 1164292249
Entity Type: Individual
Name: Vadym Prasol, LD
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Denturist
Credential: LD
Enumeration Date: Jan 8, 2024
Last Updated: Jan 8, 2024

Practice Location

Address: 261 SUNSET DR
City: Pacific
State: Washington
ZIP Code: 98047-1482
Phone: (360) 440-9041

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Denturist	122400000X	Primary

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