Healthcare Provider Details

I. General information

NPI: 1427506070
Provider Name (Legal Business Name): ANISOARA VULPOI D.D.S.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/13/2016
Last Update Date: 07/25/2024
Certification Date: 07/25/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3505 188TH ST SW
LYNNWOOD WA
98037-4707
US

IV. Provider business mailing address

101 N 46TH ST APT 404
SEATTLE WA
98103-2308
US

V. Phone/Fax

Practice location:
  • Phone: 425-744-1022
  • Fax:
Mailing address:
  • Phone: 206-321-4476
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1223G0001X
TaxonomyGeneral Practice Dentistry
License NumberDE60648314
License Number StateWA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: