Provider Demographics
NPI:1922545276
Name:EKATERINA MALINOVSKA DDS PLLC
Entity Type:Organization
Organization Name:EKATERINA MALINOVSKA DDS PLLC
Other - Org Name:CASCADE DENTAL GROUP
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:EKATERINA
Authorized Official - Middle Name:
Authorized Official - Last Name:MALINOVSKA
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:425-355-2330
Mailing Address - Street 1:5920 EVERGREEN WAY SUITE E
Mailing Address - Street 2:
Mailing Address - City:EVERETT
Mailing Address - State:WA
Mailing Address - Zip Code:98203
Mailing Address - Country:US
Mailing Address - Phone:425-355-2330
Mailing Address - Fax:425-355-2336
Practice Address - Street 1:5920 EVERGREEN WAY SUITE E
Practice Address - Street 2:
Practice Address - City:EVERETT
Practice Address - State:WA
Practice Address - Zip Code:98203
Practice Address - Country:US
Practice Address - Phone:425-355-2330
Practice Address - Fax:425-355-2336
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:CASCADE DENTAL GROUP
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2017-01-25
Last Update Date:2017-01-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WA1223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223G0001XDental ProvidersDentistGeneral PracticeGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
WA2067990Medicaid