| Im Ghorbanian Kahlon Dds Pllc | |
|
404 Main Ave S North Bend WA 98045-8215 | |
| (425) 669-9015 | |
| Not Available |
| Full Name | Im Ghorbanian Kahlon Dds Pllc |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 404 Main Ave S, North Bend, Washington |
| Authorized Official Name and Position | Sarah Im (OFFICE MANAGER) |
| Authorized Official Contact | 4256699015 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Im Ghorbanian Kahlon Dds Pllc 404 Main Ave S North Bend WA 98045-8215 Ph: (425) 669-9015 | Im Ghorbanian Kahlon Dds Pllc 404 Main Ave S North Bend WA 98045-8215 Ph: (425) 669-9015 |
| NPI Number | 1477057255 |
|---|---|
| Provider Enumeration Date | 03/19/2018 |
| Last Update Date | 03/19/2018 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1477057255 | NPI | - | NPPES |
| 1518111541 | Other | WA | NPI INDIVIDUAL |
| 1013323518 | Other | WA | NPI INDIVIDUAL |
| 1275606188 | Other | WA | NPI INDIVIDUAL |
| 1023149358 | Other | WA | NPI INDIVIDUAL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | (* (Not Available)) | Primary |
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