Provider Demographics
NPI:1275131450
Name:BAYARSAIKHAN, ZOLJARGAL (DMD)
Entity Type:Individual
Prefix:DR
First Name:ZOLJARGAL
Middle Name:
Last Name:BAYARSAIKHAN
Suffix:
Gender:F
Credentials:DMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:17103 28TH DR NE STE 104
Mailing Address - Street 2:
Mailing Address - City:MARYSVILLE
Mailing Address - State:WA
Mailing Address - Zip Code:98271-4830
Mailing Address - Country:US
Mailing Address - Phone:360-208-0492
Mailing Address - Fax:
Practice Address - Street 1:17103 28TH DR NE STE 104
Practice Address - Street 2:
Practice Address - City:MARYSVILLE
Practice Address - State:WA
Practice Address - Zip Code:98271-4830
Practice Address - Country:US
Practice Address - Phone:360-208-0492
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-10-11
Last Update Date:2020-10-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WADE610994031223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice