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General NPI Number Information
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NPI Number | 1902731938
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Entity Type | Individual
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Provider Name | LEVON SARKISYAN
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Gender | Male
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Dates
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Enumeration Date | 06/12/2026
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Last Update Date | 06/12/2026
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Provider Practice Location Address
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Address Line | 150 W SEQUIM BAY RD
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City | SEQUIM
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State | WA
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Zip | 98382-8406
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Country | US
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Telephone | 360-565-5066
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Fax |
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Provider Business Mailing Address
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Address Line | 13203 164TH AVE SE
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City | MONROE
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State | WA
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Zip | 98272-7401
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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 |
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Name |
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Credential |
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Telephone |
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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 | DE70138233
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License Number State | WA
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