NPI 1306211479

Oleksandr P Stasyuk, DPD

Practitioner Denturist Lynnwood, WA

Practice location

Address: 7411 196th St SW, Lynnwood, WA 98036-5052
Phone: (425) 678-1166
Mailing address: 7924 236th St SW APT 300, Edmonds, WA 98026-8838

Registered specialties

Denturist Primary

Dental Providers Taxonomy 122400000X Licence DN60612122 (WA)

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Registry record

NPI: 1306211479
Entity type: Individual
Sex (as registered): Male
NPI issued: 1 Dec 2015
Record last updated: 1 Dec 2015

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.