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General NPI Number Information
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NPI Number | 1841148129
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Entity Type | Organization
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Legal Business Name | GENNADIY KALVISH DDS PLLC
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Dates
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Enumeration Date | 03/20/2026
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Last Update Date | 03/20/2026
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Provider Practice Location Address
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Address Line | 520 N OLYMPIC AVE
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City | ARLINGTON
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State | WA
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Zip | 98223-1247
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Country | US
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Telephone | 360-435-4043
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Fax |
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Provider Business Mailing Address
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Address Line | 1811 VERNON RD
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City | LAKE STEVENS
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State | WA
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Zip | 98258-8529
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | DENTIST OWNER
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Name | DR. GENNADIY KALVISH
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Credential | DDS
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Telephone | 253-632-8963
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1223G0001X
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Taxonomy Name | General Practice Dentistry
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License Number |
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License Number State |
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