Dental Care Burlington Wa
NPI #1255093050 in Burlington, Washington
Provider Information
- NPI Number
- 1255093050
- Entity Type
- Organization
- Organization Name
- Dental Care Burlington Wa
- Primary Specialty
- Dentist - General Practice
- Enumeration Date
- Oct 8, 2021
- Last Updated
- Aug 9, 2024
Practice Location
- Address
- 103 E HAZEL AVE
- City
- Burlington
- State
- Washington
- ZIP Code
- 98233
- Phone
- (360) 755-0057
Authorized Official
- Name
- DR. EDUARD GENNADIAVICH SKACHKOV, DDS
- Title
- OWNER
- Phone
- (360) 755-0057
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist |
| Dentist - General Practice — General Practice |
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