Provider Demographics
NPI:1831652510
Name:TIMOSHCHUK, MARI-ALINA (DMD)
Entity Type:Individual
Prefix:DR
First Name:MARI-ALINA
Middle Name:
Last Name:TIMOSHCHUK
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 1:4348 9TH AVE NE APT 617
Mailing Address - Street 2:
Mailing Address - City:SEATTLE
Mailing Address - State:WA
Mailing Address - Zip Code:98105-1739
Mailing Address - Country:US
Mailing Address - Phone:360-821-9197
Mailing Address - Fax:
Practice Address - Street 1:4348 9TH AVE NE APT 617
Practice Address - Street 2:
Practice Address - City:SEATTLE
Practice Address - State:WA
Practice Address - Zip Code:98105-1739
Practice Address - Country:US
Practice Address - Phone:360-821-9197
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2019-04-10
Last Update Date:2019-04-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program