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Larisa Reznik, LDD
Denturist in Anderson Island, Washington
NPI 1386839736

Larisa Reznik is a Denturist based in Anderson Island, WA. Larisa Reznik practices in Anderson Island, WA and has the professional credentials of LDD. The NPI Number for Larisa Reznik is 1386839736 and holds a License No. DN00000325 (Washington).

The current practice location address for Larisa Reznik is 11414 Matthews Way, Anderson Island, WA and can be reached out via phone at 253-884-2369.

Location: 11414 Matthews Way, Anderson Island, WA, 98303
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1386839736
Provider Name
Larisa Reznik
Credential
LDD
Provider Entity Type
Individual
Gender
Female
Address
11414 Matthews Way, Anderson Island, WA, 98303
Phone Number
253-884-2369
Fax Number
Provider Enumeration Date
09/10/2007
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
5040068 05 WA
institution
Provider Business Practice Location Address Details
Address
11414 Matthews Way
City
Anderson Island
State
Washington
Zip
98303
Phone Number
253-884-2369
Fax Number
person
Provider Business Mailing Address Details
Address
11414 Matthews Way
City
Anderson Island
State
Washington
Zip
98303
Phone Number
253-884-2369
Fax Number
person
Provider's Taxonomy Details 1
Type
Dental Providers
Classification
Denturist
Speciality
-
Taxonomy
122400000X
License No.
DN00000325 (Washington)
Definition
Definition to come.
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