Gavrilyuk, Vladimir

Gavrilyuk, Vladimir is an sole proprietor health care provider with primary practice located at 201 S Division St Suite B, Auburn WA 98001-5332. He recently has only one registered license in Dental Providers / Denturist, which is considered as his primary health care specialty. Gavrilyuk, Vladimir can be contacted via phone (253) 931-0225.

Contact Information

Primary practice address
201 S Division St Suite B Auburn WA 98001-5332
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Denturist 122400000X DN00000308 Washington

Profile Details

NPI number 1043414493
LBN Legal business name Gavrilyuk, Vladimir
Credentials DENTURIST
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jun 11th, 2007
Last updated Jul 9th, 2007 - about 18 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1043414493 NPPES
Washington MEDICAID 5041595

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