Provider Demographics
NPI:1699320143
Name:HLAVATY-LAPOSA, OLGA A (DDS)
Entity type:Individual
Prefix:DR
First Name:OLGA
Middle Name:A
Last Name:HLAVATY-LAPOSA
Suffix:
Gender:F
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:22060 NE 175TH ST
Mailing Address - Street 2:
Mailing Address - City:WOODINVILLE
Mailing Address - State:WA
Mailing Address - Zip Code:98077-7501
Mailing Address - Country:US
Mailing Address - Phone:206-790-1839
Mailing Address - Fax:
Practice Address - Street 1:22060 NE 175TH ST
Practice Address - Street 2:
Practice Address - City:WOODINVILLE
Practice Address - State:WA
Practice Address - Zip Code:98077-7501
Practice Address - Country:US
Practice Address - Phone:206-790-1839
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2019-08-01
Last Update Date:2019-08-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WA609711601223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice