Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 122400000X | Denturist | DN60141938 | WA |
NPI | 1942630645 |
---|---|
Provider Name | Vadim Zalyashko |
First Address | Vancouver, WA 98682-8289 |
Second Address | Vancouver, WA 98682-8289 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 15/11/2013 |
Last Update Date | 01/04/2019 |