Pavel Tereshchuk

NPI #1992470827 in Lynnwood, Washington

Provider Information

NPI Number: 1992470827
Entity Type: Individual
Name: Pavel Tereshchuk
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Dental Hygienist
Enumeration Date: Aug 12, 2021
Last Updated: Aug 20, 2021

Practice Location

Address: 4111 ALDERWOOD MALL BLVD
City: Lynnwood
State: Washington
ZIP Code: 98036-6765
Phone: (425) 249-0771

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dental Hygienist	124Q00000X	Primary

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