Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 122300000X | Dentist | DE61015604 | WA |
NPI | 1003197450 |
---|---|
Provider Name | Dr. Tatyana Pihur |
First Address | Seattle, WA 98119-4327 |
Second Address | Seattle, WA 98121-1863 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 30/08/2011 |
Last Update Date | 09/03/2020 |