Provider Demographics
NPI:1407984727
Name:ZUKOVSKI, EFIM (DENTURIST)
Entity Type:Individual
Prefix:MR
First Name:EFIM
Middle Name:
Last Name:ZUKOVSKI
Suffix:
Gender:M
Credentials:DENTURIST
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1130 140TH AVE.
Mailing Address - Street 2:#100B
Mailing Address - City:BELLEVUE
Mailing Address - State:WA
Mailing Address - Zip Code:98005
Mailing Address - Country:US
Mailing Address - Phone:425-746-6090
Mailing Address - Fax:425-747-9856
Practice Address - Street 1:1130 140TH AVE.
Practice Address - Street 2:#100B
Practice Address - City:BELLEVUE
Practice Address - State:WA
Practice Address - Zip Code:98005
Practice Address - Country:US
Practice Address - Phone:425-746-6090
Practice Address - Fax:425-747-9856
Is Sole Proprietor?:No
Enumeration Date:2007-02-28
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WADN0141122400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122400000XDental ProvidersDenturist