Provider Demographics
NPI:1366537235
Name:TULCHINSKY, EFIM (DDS)
Entity type:Individual
Prefix:
First Name:EFIM
Middle Name:
Last Name:TULCHINSKY
Suffix:
Gender:M
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:22002 64TH AVE W
Mailing Address - Street 2:2D
Mailing Address - City:MOUNTLAKE TERRACE
Mailing Address - State:WA
Mailing Address - Zip Code:98043-2528
Mailing Address - Country:US
Mailing Address - Phone:425-775-6659
Mailing Address - Fax:425-775-6659
Practice Address - Street 1:22002 64TH AVE W
Practice Address - Street 2:
Practice Address - City:MOUNTLAKE TERRACE
Practice Address - State:WA
Practice Address - Zip Code:98043-2528
Practice Address - Country:US
Practice Address - Phone:425-775-6659
Practice Address - Fax:425-775-6659
Is Sole Proprietor?:Yes
Enumeration Date:2006-10-04
Last Update Date:2017-02-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WADE000050381223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice