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NPI Code Detail

MEDICARE: NINA S SVINO DDS

MEDICARE:   NINA S SVINO  DDS
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
11223G0001XGeneral Practice DentistryDE00009803WA
2122300000XDentistDE00009803WA

General Provider Information

NPI Number : 1568537256
Entity Type Code : Individual
Provider Name (Legal Business Name) : NINA S SVINO DDS
Provider Business Mailing Address
First Line : 18515 BALLINGER WAY NE
Second Line :
City : LAKE FOREST PARK
State : WA
Zip : 98155-2555
Country : US
Telephone Number : 206-306-0080
Fax Number : 206-306-0222
Provider Business Practice Location Address
First Line : 18515 BALLINGER WAY NE
Second Line :
City : LAKE FOREST PARK
State : WA
Zip : 98155-2555
Country : US
Telephone Number : 206-306-0080
Fax Number : 206-306-0222
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/21/2006
Last Update Date : 02/06/2023

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Directions to “ NINA S SVINO DDS” Practice Location

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