Provider Demographics
NPI:1912328758
Name:MALINOVSKA, EKATERINA (DDS)
Entity Type:Individual
Prefix:DR
First Name:EKATERINA
Middle Name:
Last Name:MALINOVSKA
Suffix:
Gender:F
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1359 N 205TH ST STE A
Mailing Address - Street 2:BRIGHT 32 FAMILY DENTISTRY
Mailing Address - City:SHORELINE
Mailing Address - State:WA
Mailing Address - Zip Code:98133-3215
Mailing Address - Country:US
Mailing Address - Phone:206-533-9693
Mailing Address - Fax:206-533-9691
Practice Address - Street 1:1359 N 205TH ST STE A
Practice Address - Street 2:BRIGHT 32 FAMILY DENTISTRY
Practice Address - City:SHORELINE
Practice Address - State:WA
Practice Address - Zip Code:98133-3215
Practice Address - Country:US
Practice Address - Phone:206-533-9693
Practice Address - Fax:206-533-9691
Is Sole Proprietor?:No
Enumeration Date:2013-12-20
Last Update Date:2013-12-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WADE60421620122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist