Larisa Reznik, LDD

NPI #1386839736 in Anderson Island, Washington

Provider Information

NPI Number: 1386839736
Entity Type: Individual
Name: Larisa Reznik, LDD
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Denturist
Credential: LDD
Enumeration Date: Sep 10, 2007
Last Updated: Sep 10, 2007

Practice Location

Address: 11414 MATTHEWS WAY
City: Anderson Island
State: Washington
ZIP Code: 98303
Phone: (253) 884-2369

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Denturist	122400000X	Primary

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