Kushner Auburn Pllc | |
32114 1st Ave S Ste 104 Federal Way WA 98003-5760 | |
(253) 236-5240 | |
(866) 861-6286 |
Full Name | Kushner Auburn Pllc |
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Speciality | Dentist |
Location | 32114 1st Ave S Ste 104, Federal Way, Washington |
Authorized Official Name and Position | Tanya A Gurevich Kushner (OWNER) |
Authorized Official Contact | 3607797711 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Kushner Auburn Pllc 32114 1st Ave S Ste 104 Federal Way WA 98003-5760 Ph: (253) 236-5240 | Kushner Auburn Pllc 32114 1st Ave S Ste 104 Federal Way WA 98003-5760 Ph: (253) 236-5240 |
NPI Number | 1578221255 |
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Provider Enumeration Date | 11/30/2021 |
Last Update Date | 11/08/2023 |
Medicare PECOS PAC ID | 7719370048 |
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Medicare Enrollment ID | O20220210000111 |
Identifier | Type | State | Issuer |
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1578221255 | NPI | - | NPPES |
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