NPI 1003331174

Michael Nikolay Berezhkov

Practitioner Dental Assistant Bremerton, WA

Practice location

Address: 1 Boone Rd, Bremerton, WA 98312-1894
Phone: (425) 304-4092

Registered specialties

Dental Assistant Primary

Dental Providers Taxonomy 126800000X

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Registry record

NPI: 1003331174
Entity type: Individual
Sex (as registered): Male
NPI issued: 9 Aug 2017
Record last updated: 9 Aug 2017

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.