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1003331174
MICHAEL NIKOLAY BEREZHKOV
BREMERTON, WA
NPI
1003331174
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
126800000X Dental Assistant
Enumeration Date
2017-08-09
Last Update Date
2017-08-09
Business Address
MICHAEL NIKOLAY BEREZHKOV
1 BOONE RD
BREMERTON, WA 98312-1894
Phone number: 425-304-4092
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Mailing Address
MICHAEL NIKOLAY BEREZHKOV
1 BOONE RD
BREMERTON, WA 98312-1894
Phone number: 425-304-4092
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