| Northwest Dental Center | |
|
21810 76th Ave W 101 Edmonds WA 98026-7917 | |
| (425) 774-3710 | |
| (425) 774-3311 |
| Full Name | Northwest Dental Center |
|---|---|
| Speciality | Dentist |
| Location | 21810 76th Ave W, Edmonds, Washington |
| Authorized Official Name and Position | Reza Nabaie (PRESIDENT) |
| Authorized Official Contact | 4257743710 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Northwest Dental Center 21810 76th Ave W 101 Edmonds WA 98026-7917 Ph: (425) 774-3710 | Northwest Dental Center 21810 76th Ave W 101 Edmonds WA 98026-7917 Ph: (425) 774-3710 |
| NPI Number | 1174968507 |
|---|---|
| Provider Enumeration Date | 04/29/2013 |
| Last Update Date | 04/29/2013 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1174968507 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | DE8781 (Washington) | Primary |
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