| Doctor Name: | INA APANASEVICH |
| NPI Number: | 1841644119 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | DENTURIST |
| License Number: | DN 60543708 |
| Business Practice Address: | 9205 150th Street Ct E Puyallup, WA - 983756963 |
| Business Phone Number: | 2533141288 |
| Business Fax Number: | |
| Mailing Address: | 9205 150th Street Ct E, PUYALLUP |
| State: | WA |
| Postal Code: | 983756963 |
| Phone Number: | 2533141288 |
| Fax Number: | |
| NPI Enumeration Date: | 04/22/2016 |
| NPI Last Update Date: | 04/22/2016 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 122400000X |
| License Number: | DN 60543708 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | WA |
| Taxonomy Type: | Dental Providers |
| Taxonomy Classification: | Denturist |
| Taxonomy Specialization: | |
| Taxonomy Definition: | |