Provider Demographics
NPI:1487601605
Name:APATOFF, DAVID (DDS)
Entity type:Individual
Prefix:DR
First Name:DAVID
Middle Name:
Last Name:APATOFF
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 1:651 EDMONDS WAY
Mailing Address - Street 2:SUITE C
Mailing Address - City:EDMONDS
Mailing Address - State:WA
Mailing Address - Zip Code:98020-4689
Mailing Address - Country:US
Mailing Address - Phone:425-712-7200
Mailing Address - Fax:425-712-1428
Practice Address - Street 1:651 EDMONDS WAY
Practice Address - Street 2:SUITE C
Practice Address - City:EDMONDS
Practice Address - State:WA
Practice Address - Zip Code:98020-4689
Practice Address - Country:US
Practice Address - Phone:425-712-7200
Practice Address - Fax:425-712-1428
Is Sole Proprietor?:Yes
Enumeration Date:2006-05-31
Last Update Date:2012-12-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WA67631223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice