Provider Demographics
NPI:1720077142
Name:NALIN, ANDREW M (DDS)
Entity type:Individual
Prefix:DR
First Name:ANDREW
Middle Name:M
Last Name:NALIN
Suffix:
Gender:M
Credentials:DDS
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Mailing Address - Street 1:2210 KULSHAN VIEW DR
Mailing Address - Street 2:SUITE 108
Mailing Address - City:MOUNT VERNON
Mailing Address - State:WA
Mailing Address - Zip Code:98273-2779
Mailing Address - Country:US
Mailing Address - Phone:360-428-4979
Mailing Address - Fax:360-848-5994
Practice Address - Street 1:2210 KULSHAN VIEW DR
Practice Address - Street 2:SUITE 108
Practice Address - City:MOUNT VERNON
Practice Address - State:WA
Practice Address - Zip Code:98273-2779
Practice Address - Country:US
Practice Address - Phone:360-428-4979
Practice Address - Fax:360-848-5994
Is Sole Proprietor?:Yes
Enumeration Date:2005-10-18
Last Update Date:2009-12-15
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
WADE000084351223X0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223X0400XDental ProvidersDentistOrthodontics and Dentofacial Orthopedics