NPI 1003277104

Svetlana Anenko

Practitioner Dental Assistant Vancouver, WA

Practice location

Address: 12711 SE Mill Plain Blvd, Vancouver, WA 98684-6053
Phone: (360) 896-4484
Fax: (360) 896-4489

Registered specialties

Dental Assistant Primary

Dental Providers Taxonomy 126800000X Licence TIN # 93-0798039 (WA)

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Registry record

NPI: 1003277104
Entity type: Individual
Sex (as registered): Female
NPI issued: 16 Mar 2016
Record last updated: 16 Mar 2016

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.