| Garibov, Pllc | |
|
9300 Ne Vancouver Mall Dr Ste 205 Vancouver WA 98662-8201 | |
| (360) 524-4236 | |
| (360) 397-6867 |
| Full Name | Garibov, Pllc |
|---|---|
| Speciality | Dentist - Periodontics |
| Location | 9300 Ne Vancouver Mall Dr Ste 205, Vancouver, Washington |
| Authorized Official Name and Position | Mikhail Garibov (MEMBER) |
| Authorized Official Contact | 3605136244 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Garibov, Pllc 3820 Reading St Se Olympia WA 98501-3084 Ph: (360) 513-6244 | Garibov, Pllc 9300 Ne Vancouver Mall Dr Ste 205 Vancouver WA 98662-8201 Ph: (360) 524-4236 |
| NPI Number | 1831864727 |
|---|---|
| Provider Enumeration Date | 08/12/2021 |
| Last Update Date | 08/12/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1831864727 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223P0300X | Dentist - Periodontics | (* (Not Available)) | Primary |
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