Provider Demographics
NPI:1811994189
Name:VORONO, ANDREW ANTHONY (DDS)
Entity type:Individual
Prefix:DR
First Name:ANDREW
Middle Name:ANTHONY
Last Name:VORONO
Suffix:
Gender:M
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1950 S CEDAR ST STE C
Mailing Address - Street 2:
Mailing Address - City:TACOMA
Mailing Address - State:WA
Mailing Address - Zip Code:98405-2315
Mailing Address - Country:US
Mailing Address - Phone:253-383-1471
Mailing Address - Fax:253-627-3753
Practice Address - Street 1:1950 S CEDAR ST
Practice Address - Street 2:STE C
Practice Address - City:TACOMA
Practice Address - State:WA
Practice Address - Zip Code:98405-2315
Practice Address - Country:US
Practice Address - Phone:253-383-1471
Practice Address - Fax:253-627-3753
Is Sole Proprietor?:No
Enumeration Date:2005-07-01
Last Update Date:2011-08-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WA75771223S0112X
CA265571223S0112X
TX184991223S0112X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223S0112XDental ProvidersDentistOral and Maxillofacial Surgery