Provider Demographics
NPI:1831212364
Name:QUALITY DENTAL AND DENTURE CARE, INC.
Entity type:Organization
Organization Name:QUALITY DENTAL AND DENTURE CARE, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:VICTOR
Authorized Official - Middle Name:NIKOLIY
Authorized Official - Last Name:RAZUMOVICH
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:206-542-2196
Mailing Address - Street 1:19550 AURORA AVE N
Mailing Address - Street 2:
Mailing Address - City:SHORELINE
Mailing Address - State:WA
Mailing Address - Zip Code:98133-3521
Mailing Address - Country:US
Mailing Address - Phone:206-542-2196
Mailing Address - Fax:
Practice Address - Street 1:19550 AURORA AVE N
Practice Address - Street 2:
Practice Address - City:SHORELINE
Practice Address - State:WA
Practice Address - Zip Code:98133-3521
Practice Address - Country:US
Practice Address - Phone:206-542-2196
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-04-09
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes122300000XDental ProvidersDentistGroup - Multi-Specialty