Peysakhov, Dmitry
Peysakhov, Dmitry is an individual health care provider with primary practice located at 1416 Highlands Dr Ne Suite 120, Issaquah WA 98029-6240. He recently has only one registered license in Dental Providers / Oral and Maxillofacial Surgery, which is considered as his primary health care specialty. Peysakhov, Dmitry can be contacted via phone (781) 856-8080.Contact Information
Primary practice address
1416 Highlands Dr Ne Suite 120
Issaquah WA 98029-6240
Phone: (781) 856-8080
Fax:
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Dental Providers / Oral and Maxillofacial Surgery | 1223S0112X | DS038644 | Pennsylvania |
Dental Providers / Oral and Maxillofacial Surgery | 1223S0112X | DE 60498667 | Washington |
Profile Details
NPI number | 1477718229 |
---|---|
LBN Legal business name | Peysakhov, Dmitry |
Credentials | Doctor of Dental Medicine (DMD) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Jul 22nd, 2008 |
Last updated | Sep 2nd, 2015 - about 9 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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