AMANDA LEE TAVOULARIS

LYNNWOOD, WA
NPI1982707014
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy122300000X Dentist
(Licence: WA  7460)
Additional Taxonomies124Q00000X Dental Hygienist
Enumeration Date2006-09-06
Last Update Date2007-07-08
Business Address
Dr. AMANDA LEE TAVOULARIS DDS
19505 76TH AVE W STE 100
LYNNWOOD, WA 98036
Phone number: 425-775-3613
Mailing Address
Dr. AMANDA LEE TAVOULARIS DDS
19505 76TH AVE W STE 100
LYNNWOOD, WA 98036
Phone number: 425-775-3613